Doctor Name: | MRS. LISA JAY HADE |
NPI Number: | 1164670147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RC |
License Number: | RC00034987 |
Business Practice Address: | 4807 196th St Sw Ste 100 Lynnwood, WA - 980366409 |
Business Phone Number: | 4257744269 |
Business Fax Number: | |
Mailing Address: | 4217 212th St Se, BOTHELL |
State: | WA |
Postal Code: | 980217933 |
Phone Number: | 2067926780 |
Fax Number: | |
NPI Enumeration Date: | 09/03/2008 |
NPI Last Update Date: | 09/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | RC00034987 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |