| Doctor Name: | MS. THERESA C BEI |
| NPI Number: | 1114292562 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CDP |
| License Number: | CP00003500 |
| Business Practice Address: | 16715 Aurora Ave N Ste 102 Shoreline, WA - 981335310 |
| Business Phone Number: | 2065479766 |
| Business Fax Number: | 2065420326 |
| Mailing Address: | 16715 Aurora Ave N Ste 102, SHORELINE |
| State: | WA |
| Postal Code: | 981335310 |
| Phone Number: | 2065469766 |
| Fax Number: | 2065420326 |
| NPI Enumeration Date: | 03/19/2012 |
| NPI Last Update Date: | 03/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CP00003500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |