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Organization

KYEISHA HODGE, LLC

Active
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Organization

KYEISHA HODGE, LLC

Active
Other names
Introspective Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
KYEISHA EBONY HODGE LMHCA (MENTAL HEALTH COUNSELOR)
(205) 774-0502
Entity
Organization

Contact information

Practice address
1903 NE 85TH ST, APT 405, SEATTLE, WA 98115-8203
(205) 775-0502
Mailing address
1903 NE 85TH ST, APT 405, SEATTLE, WA 98115-8203

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60507339
WA

Other

Enumeration date
11/02/2015
Last updated
11/02/2015
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