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Organization
MYCELIA THERAPY COLLECTIVE
Active
Organization
MYCELIA THERAPY COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGHANN GERBER PSYD (DIRECTOR)
(347) 551-3390
Entity
Organization
Contact information
Practice address
6306 PHINNEY AVE N, SEATTLE, WA 98103-5559
(206) 659-6592
Mailing address
6306 PHINNEY AVE N, SEATTLE, WA 98103-5559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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