| Blue Harbor Counseling, Inc. | |
|
444 Ne Ravenna Blvd Ste 301 Seattle WA 98115-6467 | |
| (206) 359-0714 | |
| Not Available |
| Full Name | Blue Harbor Counseling, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 444 Ne Ravenna Blvd Ste 301, Seattle, Washington |
| Authorized Official Name and Position | Matthew Paul Tiemeyer (PRESIDENT) |
| Authorized Official Contact | 4252752198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Harbor Counseling, Inc. 444 Ne Ravenna Blvd Ste 301 Seattle WA 98115-6467 Ph: () - | Blue Harbor Counseling, Inc. 444 Ne Ravenna Blvd Ste 301 Seattle WA 98115-6467 Ph: (206) 359-0714 |
| NPI Number | 1053702712 |
|---|---|
| Provider Enumeration Date | 02/16/2015 |
| Last Update Date | 02/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053702712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LW60398263 (Washington) | Primary |
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