Organization Name: | SAMMAMISH COUNSELING |
NPI Number: | 1396815346 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHERINE JON KENDALL (DIRECTOR) |
Mailing Address: | 22803 Se 21st St Sammamish |
State: | WA US |
Postal Code: | 980758101 |
Phone Number: | 4253917870 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LW00004419 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |