Individual
ELIZABETH MCKEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
2322 98TH ST SE EVERETT, EVERETT, WA 98208-0569
(612) 203-8890
Mailing address
2322 98TH ST SE EVERETT, EVERETT, WA 98208-0569
(612) 203-8890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
WA
Enumeration date
04/26/2015
Last updated
10/21/2016
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