| Sequoia Teen Counseling Center Llc | |
|
511 28th Ave E Seattle WA 98112-4161 | |
| (206) 581-1087 | |
| Not Available |
| Full Name | Sequoia Teen Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 511 28th Ave E, Seattle, Washington |
| Authorized Official Name and Position | Andy Williamson (CO-DIRECTOR) |
| Authorized Official Contact | 2064303993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sequoia Teen Counseling Center Llc 511 28th Ave E Seattle WA 98112-4161 Ph: (206) 581-1087 | Sequoia Teen Counseling Center Llc 511 28th Ave E Seattle WA 98112-4161 Ph: (206) 581-1087 |
| NPI Number | 1205544624 |
|---|---|
| Provider Enumeration Date | 11/15/2022 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205544624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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