DEENA JO EASTERN

BELLEVUE, WA
NPI1578127312
Former NameDEENA JO WAGNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  LH00004456)
Enumeration Date2019-04-26
Last Update Date2019-04-26
Business Address
DEENA JO EASTERN MS
5667 176TH PL SE
BELLEVUE, WA 98006-5936
Phone number: 425-941-1450
Mailing Address
DEENA JO EASTERN MS
5667 176TH PL SE
BELLEVUE, WA 98006-5936
Phone number: 425-941-1450