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Organization
KEEP ON DANCING MENTAL HEALTH SERVICES, LLC
Active
Organization
KEEP ON DANCING MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESSETTA L SMITH (BILLING/OFFICE MNGR., AUTH. OFFICIA)
(425) 740-3600
Entity
Organization
Contact information
Practice address
2722 COLBY AVE STE 328, EVERETT, WA 98201
(425) 740-3600
(425) 740-3601
Mailing address
2722 COLBY AVE, SUITE 328, EVERETT, WA 98201-3557
(425) 740-3600
(425) 740-3601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LW00009392
WA
101YP2500X
Professional Counselor
LW00009392
WA
104100000X
Social Worker
LW00009392
WA
1041C0700X
Clinical Social Worker
LW00009392
WA
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
163W00000X
Registered Nurse
RN00059378
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP30007518
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/14/2015
Last updated
09/15/2021
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