| Self And Other Pllc | |
|
3123 Fairview Ave E Ste 204 Seattle WA 98102-3051 | |
| (206) 785-3980 | |
| (206) 480-0987 |
| Full Name | Self And Other Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3123 Fairview Ave E Ste 204, Seattle, Washington |
| Authorized Official Name and Position | Joseph Henry (CO-OWNER) |
| Authorized Official Contact | 2067853980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Self And Other Pllc Po Box 22075 Seattle WA 98122-0075 Ph: (206) 785-3980 | Self And Other Pllc 3123 Fairview Ave E Ste 204 Seattle WA 98102-3051 Ph: (206) 785-3980 |
| NPI Number | 1508647413 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508647413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 102L00000X | Psychoanalyst | (* (Not Available)) | Secondary |
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