Individual
BETTY EICKMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, CDP
Contact information
Practice address
4240 AUBURN WAY N, AUBURN, WA 98002-1311
(253) 876-8900
(253) 876-8910
Mailing address
1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60061271
WA
101YM0800X
Mental Health Counselor
CG60151417
WA
Other
Enumeration date
12/14/2006
Last updated
12/15/2016
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