Individual
MR. MICHAEL HAWTHORNE BERNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
4026 NE 55TH ST, #A, SEATTLE, WA 98105
(206) 625-0904
Mailing address
4026 NE 55TH ST, #A, SEATTLE, WA 98105
(206) 625-0904
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH0003749
WA
106H00000X
Marriage & Family Therapist
Primary
LF00001387
WA
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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