Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | LH60796679 | WA |
N | 101YM0800X | Mental Health Counselor | MH13340 | FL |
NPI | 1003231218 |
---|---|
Provider Name | Shellie Respess |
First Address | Kirkland, WA 98034-6933 |
Second Address | Kirkland, WA 98034-6933 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2014 |
Last Update Date | 08/12/2017 |