| Lakeside Counseling Center, Llc | |
|
1600 2nd Ave Apt 1803 Seattle WA 98101-3288 | |
| (425) 202-5093 | |
| Not Available |
| Full Name | Lakeside Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1600 2nd Ave Apt 1803, Seattle, Washington |
| Authorized Official Name and Position | Kami Lyn Marsh (LICSW/OWNER) |
| Authorized Official Contact | 8017924832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Counseling Center, Llc Po Box 1146 Bellevue WA 98009-1146 Ph: (801) 792-4832 | Lakeside Counseling Center, Llc 1600 2nd Ave Apt 1803 Seattle WA 98101-3288 Ph: (425) 202-5093 |
| NPI Number | 1427676600 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 07/14/2020 |
| Certification Date | 07/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427676600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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