Individual
CAROL RUTH MISSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHCA
Contact information
Practice address
10116 MAIN ST STE 104, BOTHELL, WA 98011-3448
(206) 319-4557
(206) 319-4557
Mailing address
10116 MAIN ST STE 104, BOTHELL, WA 98011-3448
(206) 319-4557
(206) 319-4557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60169454
WA
101YP2500X
Professional Counselor
MC60169454
WA
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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