Provider Demographics
NPI:1710316807
Name:SCHWEPPENHEISER, MEGAN
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:SCHWEPPENHEISER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:SCHWEPPENHEISER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC, NCACII
Mailing Address - Street 1:PO BOX 2375
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-2375
Mailing Address - Country:US
Mailing Address - Phone:425-802-5081
Mailing Address - Fax:
Practice Address - Street 1:17206 435TH AVE SE
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98045-9659
Practice Address - Country:US
Practice Address - Phone:425-802-5081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP 00003738101YA0400X
WALH00009913101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)