Edenholm, Monica Elena

Edenholm, Monica Elena is an individual health care provider with primary practice located at 2704 Ne 143Rd St , Seattle WA 98125-3523. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Edenholm, Monica Elena can be contacted via phone (206) 915-3253.

Contact Information

Primary practice address
2704 Ne 143Rd St Seattle WA 98125-3523
Phone: (206) 915-3253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004541 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004541 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Washington

Profile Details

NPI number 1609812536
LBN Legal business name Edenholm, Monica Elena
Credentials LMFTA, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Sep 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609812536 NPPES
Washington MEDICAID 1014354

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