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Organization
PACIFIC ROOTS MENTAL HEALTH
Active
Organization
PACIFIC ROOTS MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA COLEEN MEJIAS LICSW (OWNER/THERAPIST)
(425) 954-6796
Entity
Organization
Contact information
Practice address
19125 N CREEK PKWY STE 120, BOTHELL, WA 98011-8000
(425) 954-6796
Mailing address
19125 N CREEK PKWY STE 120, BOTHELL, WA 98011-8000
(425) 954-6796
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604923091
SECRETARY OF STATE ISSUED UBI
WA
Enumeration date
08/24/2022
Last updated
08/24/2022
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