Individual
DEBRA GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3417 EVANSTON AVE N STE 517, SEATTLE, WA 98103-8972
(206) 782-1997
Mailing address
3417 EVANSTON AVE N STE 517, SEATTLE, WA 98103-8972
(206) 782-1997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60491433
WA
101YM0800X
Mental Health Counselor
MC 60164861
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90-0882496
UBI # 603011744
WA
Enumeration date
12/17/2013
Last updated
09/12/2014
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