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Individual

MR. MICHAEL YUKIO NAKAYAMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW, GMHS

Contact information

Practice address
1550 N 115TH ST, MS: E-120, SEATTLE, WA 98133-8401
(206) 368-1172
(206) 368-1489
Mailing address
1550 N 115TH ST, MS: E-120, SEATTLE, WA 98133-8401
(206) 368-1172
(206) 368-1489

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
RC00047472
WA
283Q00000X
Psychiatric Hospital
Primary
LW00009568
WA

Other

Enumeration date
12/14/2006
Last updated
11/21/2008
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