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1103 W. Meeker Street #102 Kent WA 98032 | |
(888) 232-0222 | |
Not Available |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 1103 W. Meeker Street #102, Kent, Washington |
Authorized Official Name and Position | Gina Lynn Guddat (COUNSELOR, DIRECTOR OF GROUP PRACTI) |
Authorized Official Contact | 8882320222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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P.o. Box 9572 Seattle WA 98109 Ph: (888) 232-0222 | 1103 W. Meeker Street #102 Kent WA 98032 Ph: (888) 232-0222 |
NPI Number | 1891241568 |
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Provider Enumeration Date | 08/31/2016 |
Last Update Date | 10/09/2018 |
Identifier | Type | State | Issuer |
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1891241568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | LH60217335 (Washington) | Primary |
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