Organization
DBT-IOP AT EBTCS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SAYRS PHD (EXECUTIVE DIRECTOR)
(206) 374-0109
Entity
Organization
Contact information
Practice address
1200 5TH AVE STE 800, SEATTLE, WA 98101-3136
(206) 374-0109
(206) 374-0108
Mailing address
1200 5TH AVE STE 800, SEATTLE, WA 98101-3136
(206) 374-0109
(206) 374-0108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
133N00000X
Nutritionist
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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