Organization
BLUE HARBOR COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PAUL TIEMEYER (PRESIDENT)
(425) 275-2198
Entity
Organization
Contact information
Practice address
444 NE RAVENNA BLVD STE 301, SEATTLE, WA 98115-6467
(206) 359-0714
Mailing address
444 NE RAVENNA BLVD STE 301, SEATTLE, WA 98115-6467
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LW60398263
WA
Other
Enumeration date
02/16/2015
Last updated
02/16/2015
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