| Suckerman Counseling Pllc | |
|
4316 Sw Othello St Ste 15 Seattle WA 98136-2074 | |
| (206) 580-3895 | |
| Not Available |
| Full Name | Suckerman Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4316 Sw Othello St Ste 15, Seattle, Washington |
| Authorized Official Name and Position | Sivie Suckerman (OWNER) |
| Authorized Official Contact | 2065803895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suckerman Counseling Pllc 6523 California Ave Sw Ste 44 Seattle WA 98136-1833 Ph: (206) 580-3895 | Suckerman Counseling Pllc 4316 Sw Othello St Ste 15 Seattle WA 98136-2074 Ph: (206) 580-3895 |
| NPI Number | 1649095217 |
|---|---|
| Provider Enumeration Date | 11/19/2024 |
| Last Update Date | 11/19/2024 |
| Certification Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649095217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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