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600 N 36th St Ste 321 Seattle WA 98103-8698 | |
| (206) 708-2695 | |
| (833) 370-0319 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 600 N 36th St Ste 321, Seattle, Washington |
| Authorized Official Name and Position | Tracy Jordan Adams (THERAPIST) |
| Authorized Official Contact | 2067082695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
600 N 36th St Ste 321 Seattle WA 98103-8698 Ph: (206) 708-2695 | 600 N 36th St Ste 321 Seattle WA 98103-8698 Ph: (206) 708-2695 |
| NPI Number | 1114513389 |
|---|---|
| Provider Enumeration Date | 12/11/2020 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114513389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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