Provider Demographics
NPI:1356644751
Name:BIAGIANTI, CAROL ANN (MA)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:BIAGIANTI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16710 NE 79TH ST
Mailing Address - Street 2:SUITE NUMBER 103
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-4466
Mailing Address - Country:US
Mailing Address - Phone:425-698-5568
Mailing Address - Fax:425-868-7105
Practice Address - Street 1:16710 NE 79TH ST
Practice Address - Street 2:SUITE NUMBER 103
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4466
Practice Address - Country:US
Practice Address - Phone:425-698-5568
Practice Address - Fax:425-868-7105
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60165480101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health