MICHAEL THEISEN

ISSAQUAH, WA
NPI1912398694
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  LH60195901)
Enumeration Date2015-02-17
Last Update Date2015-02-17
Business Address
-- MICHAEL THEISEN
22530 SE 64TH PL STE 220
ISSAQUAH, WA 98027-5353
Phone number: 425-281-6405
Mailing Address
-- MICHAEL THEISEN
22530 SE 64TH PLACE, SUITE 220
ISSAQUAH, WA 98027
Phone number: 425-281-6405
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