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Organization
SPACE FOR GRIEF
Active
Organization
SPACE FOR GRIEF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN B BAKER LMHCA (OWNER)
(412) 728-3890
Entity
Organization
Contact information
Practice address
340 MORRIS AVE S, RENTON, WA 98057-2521
(206) 717-5915
Mailing address
1008 S 117TH ST, SEATTLE, WA 98168-2160
(412) 728-3890
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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