| Lisa Hake Counseling And Consultation, Pllc | |
|
1126 34th Ave Ste 206 Seattle WA 98122-5137 | |
| (206) 204-9794 | |
| Not Available |
| Full Name | Lisa Hake Counseling And Consultation, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1126 34th Ave Ste 206, Seattle, Washington |
| Authorized Official Name and Position | Lisa Hake (OWNER) |
| Authorized Official Contact | 2062049794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Hake Counseling And Consultation, Pllc 1126 34th Ave Ste 206 Seattle WA 98122-5137 Ph: (206) 204-9794 | Lisa Hake Counseling And Consultation, Pllc 1126 34th Ave Ste 206 Seattle WA 98122-5137 Ph: (206) 204-9794 |
| NPI Number | 1679349013 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Medicare PECOS PAC ID | 5395198667 |
|---|---|
| Medicare Enrollment ID | O20240202001231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679349013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lisa M Hake |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376695254 PECOS PAC ID: 6204289572 Enrollment ID: I20240202001320 |
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