| Space For Grief | |
|
340 Morris Ave S Renton WA 98057-2521 | |
| (206) 717-5915 | |
| Not Available |
| Full Name | Space For Grief |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 340 Morris Ave S, Renton, Washington |
| Authorized Official Name and Position | Jacquelyn B Baker (OWNER) |
| Authorized Official Contact | 4127283890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Space For Grief 1008 S 117th St Seattle WA 98168-2160 Ph: (412) 728-3890 | Space For Grief 340 Morris Ave S Renton WA 98057-2521 Ph: (206) 717-5915 |
| NPI Number | 1134683550 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 01/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134683550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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