Doctor Name: | LARA AMALIA COLLIS |
NPI Number: | 1194055400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | RC00053143 |
Business Practice Address: | 3712 S Ferdinand St Seattle, WA - 981181736 |
Business Phone Number: | 2067232825 |
Business Fax Number: | 2062823640 |
Mailing Address: | 3801 W. Government Way, SEATTLE |
State: | WA |
Postal Code: | 98199 |
Phone Number: | 2067232825 |
Fax Number: | 2062823640 |
NPI Enumeration Date: | 01/08/2010 |
NPI Last Update Date: | 01/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | RC00053143 |
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 |