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1760999023
AVERY PARK
BELLEVUE, WA
NPI
1760999023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MHC.LH.61116070)
Enumeration Date
2018-01-08
Last Update Date
2021-06-19
Business Address
AVERY PARK MHC
15605 SE 1ST ST
BELLEVUE, WA 98008-4641
Phone number: 909-815-4212
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Mailing Address
AVERY PARK MHC
7345 164TH AVE NE # 145-239
REDMOND, WA 98052-7846
Phone number: 909-815-4212
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