Individual
DR. CECILE CULP MIELENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
17220 127TH PL NE STE 103, SUNRIDGE PROFESSIONAL CENTER, WOODINVILLE, WA 98072-7965
(425) 318-0062
(360) 387-7734
Mailing address
17220 127TH PL NE STE 103, SUNRIDGE PROFESSIONAL CENTER, WOODINVILLE, WA 98072-7965
(425) 318-0062
(360) 387-7734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH 60032258
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1126234
—
WA
Enumeration date
07/14/2008
Last updated
07/22/2009
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