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Organization

MOSEMAN COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER MOSEMAN MA, LMHC (PRESIDENT)
(206) 683-2200
Entity
Organization

Contact information

Practice address
4009 BRIDGEPORT WAY W STE G5, UNIVERSITY PLACE, WA 98466-4326
(206) 683-2200
Mailing address
4009 BRIDGEPORT WAY W STE G5, UNIVERSITY PLACE, WA 98466-4326
(206) 683-2200

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LH60395966
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689949596
WA
Enumeration date
07/29/2018
Last updated
07/29/2018
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