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5355 Tallman Ave Nw #210 Seattle WA 98107-3935 | |
| (256) 648-1730 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5355 Tallman Ave Nw, Seattle, Washington |
| Authorized Official Name and Position | Rosemary Elaine Crawford (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2566481730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12360 Lake City Way Ne Suite 420 Seattle WA 98125-5447 Ph: (256) 648-1730 | 5355 Tallman Ave Nw #210 Seattle WA 98107-3935 Ph: (256) 648-1730 |
| NPI Number | 1477003572 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477003572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LH 60478649 (Washington) | Primary |
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