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Organization
PACIFIC BEHAVIORAL HEALTHCARE
Active
Organization
PACIFIC BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PHILLIP OLSEN J.D., PH.D., LMHC (PRESIDENT)
(425) 628-2820
Entity
Organization
Contact information
Practice address
2370 130TH AVE NE STE 104, BELLEVUE, WA 98005-1770
(425) 628-2820
Mailing address
2370 130TH AVE NE STE 104, BELLEVUE, WA 98005-1770
(425) 628-2820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH 60450953
WA
103TC0700X
Clinical Psychologist
PY 60411510
WA
Other
Enumeration date
04/26/2014
Last updated
01/14/2015
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