Individual
CARLA GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMCH, LPC
Contact information
Practice address
9055 11TH AVE NW, SEATTLE, WA 98117-3324
(206) 552-1543
Mailing address
9055 11TH AVE NW, SEATTLE, WA 98117-3324
(206) 552-1543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60829337
WA
101YP2500X
Professional Counselor
LPC-5424
ID
Other
Enumeration date
12/09/2013
Last updated
04/17/2024
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