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Organization
MAPLE LEAF DBT, PLLC
Active
Organization
MAPLE LEAF DBT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GOETTLE MA LMHC (LEAD TEACHER)
(206) 372-8400
Entity
Organization
Contact information
Practice address
229 BROADWAY E, ROOM 8, SEATTLE, WA 98102-5787
(206) 372-8400
Mailing address
229 BROADWAY E, ROOM 8, SEATTLE, WA 98102-5787
(206) 372-8400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00004179
WA
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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