| Creative Avenues Counseling Pllc | |
|
2027 196th St Sw Ste A205 Lynnwood WA 98036-7073 | |
| (425) 202-6005 | |
| (425) 367-0531 |
| Full Name | Creative Avenues Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2027 196th St Sw Ste A205, Lynnwood, Washington |
| Authorized Official Name and Position | Stephanie Erickson Carl (OWNER) |
| Authorized Official Contact | 4252026005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Avenues Counseling Pllc 2027 196th St Sw Ste A205 Lynnwood WA 98036-7073 Ph: (425) 202-6005 | Creative Avenues Counseling Pllc 2027 196th St Sw Ste A205 Lynnwood WA 98036-7073 Ph: (425) 202-6005 |
| NPI Number | 1659081669 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659081669 | NPI | - | NPPES |
| 2211204 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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