Individual
MICHELLE HEERTJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
515 3RD AVE, SEATTLE, WA 98104-2304
(206) 464-1570
Mailing address
2545 57TH AVE SW, SEATTLE, WA 98116-2223
(253) 263-0200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAAR.CG.60708975
COUNSELOR AGENCY AFFILIATED
WA
Enumeration date
11/19/2018
Last updated
11/19/2018
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