| Essential Self, Llc | |
|
1501 15th St Nw Suite 107 Auburn WA 98001-3507 | |
| (253) 929-8732 | |
| (253) 929-8738 |
| Full Name | Essential Self, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1501 15th St Nw, Auburn, Washington |
| Authorized Official Name and Position | Carole A. Hayes (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 2539298732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Self, Llc 1501 15th St Nw Suite 107 Auburn WA 98001-3507 Ph: (253) 929-8732 | Essential Self, Llc 1501 15th St Nw Suite 107 Auburn WA 98001-3507 Ph: (253) 929-8732 |
| NPI Number | 1346509775 |
|---|---|
| Provider Enumeration Date | 05/04/2012 |
| Last Update Date | 05/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346509775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LH60172456 (Washington) | Primary |
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