Individual
PETIA SIERSCHYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9116 GRAVELLY LAKE DR SW STE 107, LAKEWOOD, WA 98499-3148
(253) 256-5415
Mailing address
9116 GRAVELLY LAKE DR SW STE 107, LAKEWOOD, WA 98499-3148
(253) 256-5415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHCA.MC.61662933
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
01/15/2026
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