Provider Demographics
NPI:1871232421
Name:MIELKE, HANNAH REBEKAH
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:REBEKAH
Last Name:MIELKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 SUNNYSLOPE HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-9664
Mailing Address - Country:US
Mailing Address - Phone:425-232-0709
Mailing Address - Fax:
Practice Address - Street 1:123 OHME GARDEN RD STE 4
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-4500
Practice Address - Country:US
Practice Address - Phone:971-319-4143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health