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444 Ne Ravenna Blvd Ste 301 Seattle WA 98115-6467 | |
| (425) 736-1676 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 444 Ne Ravenna Blvd Ste 301, Seattle, Washington |
| Authorized Official Name and Position | Benjamin Deu (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 4257361676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
10830 Ne 148th Ln G101 Bothell WA 98011-4898 Ph: (425) 736-1676 | 444 Ne Ravenna Blvd Ste 301 Seattle WA 98115-6467 Ph: (425) 736-1676 |
| NPI Number | 1033487350 |
|---|---|
| Provider Enumeration Date | 12/01/2011 |
| Last Update Date | 12/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033487350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH00010988 (Washington) | Primary |
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