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Individual

ANGIE MT CANELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMHC NCC

Contact information

Practice address
1200 6TH AVE, SUITE 2001, SEATTLE, WA 98101-3123
(206) 424-0604
Mailing address
2402 7TH AVE W APT 2, SEATTLE, WA 98119-2502
(206) 898-0231

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00011134
WA

Other

Enumeration date
10/17/2010
Last updated
10/17/2010
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