NPI 1679132971 · live from the CMS NPI Registry
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Counselor, Mental Health in Bellevue, WA. National Provider Identifier 1679132971, active.
NPI record
| NPI | 1679132971 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 1400 112th Ave Se Ste 100, Bellevue, WA 98004 |
| Practice phone | 206-861-9577 |
| Mailing address | Po Box 832, Vashon, WA 98070 |
| Enumerated | June 10, 2019 |
| Last updated | June 10, 2019 |
| Authorized official | Amy Maez, Managing Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Technician, Other | 247200000X | — |
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.