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300 Lenora St # 980 Seattle WA 98121-2411 | |
| (054) 317-4956 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Health |
| Location | 300 Lenora St # 980, Seattle, Washington |
| Authorized Official Name and Position | Kaylee Trottier (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6054317495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
300 Lenora St # 980 Seattle WA 98121-2411 Ph: (605) 431-7495 | 300 Lenora St # 980 Seattle WA 98121-2411 Ph: (054) 317-4956 |
| NPI Number | 1205422318 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 01/14/2021 |
| Certification Date | 01/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205422318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Primary |
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