MR. MARCO ANTONIO MEDINA SOTELO
NPI 1912558370
Counselor - Addiction (Substance Use Disorder) in Seattle, WA

Active since September 26, 2019
113 23RD AVENUE SOUTH, SEATTLE, WA 98144(206) 219-5980(206) 812-6161 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Marco Antonio Medina Sotelo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARCO ANTONIO MEDINA SOTELO (NPI 1912558370) is an individual addiction (substance use disorder) provider in Seattle, Washington, licensed in Washington (00002170) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1912558370
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MARCO ANTONIO MEDINA SOTELO
Location Address113 23RD AVENUE SOUTHSeattle, WA 98144
Mailing Address113 23rd Avenue SouthSeattle, WA 98144 · (206) 219-5980 · Fax (206) 812-6161
Fax(206) 812-6161
Sole ProprietorNo
Enumeration DateSeptember 26, 2019
NPI 1912558370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · 00002170
113 23RD AVENUE SOUTH, Seattle, WA 98144

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912558370, enumerated as an "individual" on September 26, 2019.

The provider is located at 113 23RD AVENUE SOUTH SEATTLE, WA 98144 and the phone number is (206) 219-5980.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).