Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MC60579598 | WA |
NPI | 1003151986 |
---|---|
Provider Name | Ashlee Anne Guckel |
First Address | Seattle, WA 98122-2735 |
Second Address | Bellevue, WA 98007-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2012 |
Last Update Date | 29/12/2016 |