Mr. Marco Antonio Medina Sotelo
Counselor (Addiction (Substance Use Disorder))

Address: 113 23rd Avenue South, Seattle, WA 98144
Phone: 2062195980

Mr. Marco Antonio Medina Sotelo (NPI# 1912558370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1912558370
Entity Type Individual
Full Name Mr. Marco Antonio Medina Sotelo
Gender Male
Practice Address 113 23rd Avenue South
WA 98144
Practice Telephone 2062195980
Practice Fax Number 2068126161
Mailing Address 113 23rd Avenue South
WA 98144
Mailing Telephone 2062195980
Mailing Fax Number 2068126161
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-09-26
Last Update Date 2019-09-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YA0400X Counselor · Addiction (Substance Use Disorder) Behavioral Health & Social Service Providers 00002170 WA

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1205468899 Connie Heath Counselor 13044 14th Ave S, Seattle, WA 98108 2020-02-11
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1255972063 Ryan Wathne Counselor 325 9th Ave # Ms 359760, Seattle, WA 98104-2420 2019-10-02
1730743717 Adrienne Renee Burrington Counselor 1811 Eastlake Ave E, Seattle, WA 98102-4171 2019-04-25
1578034971 Charles Quinn Counselor 2815 Eastlake Ave E Ste 100, Seattle, WA 98102-3086 2018-12-10
1689144628 Sarah Katherine Laing Counselor 1811 Eastlake Ave, Seattle, WA 98101-1403 2018-12-03
1629546932 Lawrence Millard Watson Counselor 325 9th Ave # 359896, Seattle, WA 98104-2420 2018-11-05
1063980381 Dennis Gordon Grove Counselor 701 N 36th St, Ste 300, Seattle, WA 98103 2018-11-05
1033684311 Ashley Marie Floyd Counselor 701 N 36th St Ste 300, Seattle, WA 98103-8868 2018-10-12
1003391723 Ivar Sandsmark Counselor 11000 Lake City Way Ne Ofc, Seattle, WA 98125-6748 2018-09-27
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Office Location

Street Address 113 23RD AVENUE SOUTH
State WA
Zip Code 98144

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891337457 Alyson Paris Counselor 2100 24th Ave S, Suite 260, Seattle, WA 98144 2019-10-15
1952865909 John Thomas Hogan Counselor 1600 S Lane, Seattle, WA 98144 2019-01-23
1134693856 Kimo Martin Peer Specialist 1600 Lane St, Seattle, WA 98144 2019-01-15
1952875791 Rainier Chiropractic Accident and Injury Ps Massage Therapist 2326 Rainier Ave S, Ste B, Seattle, WA 98144 2019-01-15
1174097083 Seann M Combs Counselor 1600 S Lane St, Seattle, Wa 98144, Seattle, WA 98144 2019-01-14
1922571587 Cristina Wirkala Registered Nurse Crisis Solutions Center, 1600 South Lane Street, Seattle, WA 98144 2019-01-07
1013485846 Austin Nicholas Mamont Counselor 3401 Rainier Ave S Suite B, Seattle, WA 98144 2018-11-09
1215405162 Vickie Barron Counselor 3401 Rainier Ave S, Suite B, Seattle, WA 98144 2018-11-08
1164906509 Julie Seddon Cabell Counselor Central Youth and Family Services, 1901 Mlk Jr Way S., Seattle, WA 98144 2018-09-21
1356831556 Samantha Fonteyne-crescioni Doula 2915 Rainier Ave S Apt 209, Seattle, WA 98144 2018-05-14
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Zip Code 98144

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.