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11335 Ne 122nd Way Suite 105 - #2387 Kirkland WA 98034 | |
(425) 216-8850 | |
Not Available |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 11335 Ne 122nd Way, Kirkland, Washington |
Authorized Official Name and Position | Chris Garrido-philp (CLINICAL DIRECTOR) |
Authorized Official Contact | 4252168850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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#400 218 Main St Kirkland WA 98033 Ph: (425) 216-8850 | 11335 Ne 122nd Way Suite 105 - #2387 Kirkland WA 98034 Ph: (425) 216-8850 |
NPI Number | 1538814967 |
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Provider Enumeration Date | 02/15/2022 |
Last Update Date | 10/30/2023 |
Certification Date | 10/30/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538814967 | NPI | - | NPPES |
LW61191172 | Other | WA | STATE ISSUED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Ioana Diaconu, Md, Ps Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Kirkland Way, 200, Kirkland, WA 98033 Phone: 425-889-5045 | |
Timothy A Rogge, Md, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10200 Ne 132nd St, Kirkland, WA 98034 Phone: 425-821-2000 | |
Ryan Q Patterson Ma Lmhc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11415 Ne 128th St, Suite 30, Kirkland, WA 98034 Phone: 425-205-9332 Fax: 888-232-6779 | |
Lake Counseling & Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10415 Ne 37th Cir Bldg 4, Kirkland, WA 98033 Phone: 206-590-1331 | |