Individual
ERICA DE LOS REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(510) 227-0955
Mailing address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(510) 227-0955
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
92649
CA
104100000X
Social Worker
92649
CA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
61486565
WA
390200000X
Student in an Organized Health Care Education/Training Program
92649
CA
Other
Enumeration date
02/10/2016
Last updated
04/29/2026
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