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Individual

DR. TRICIA L TENEYCKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD, LMHC, ATR-BC

Contact information

Practice address
509 OLIVE WAY STE 1025, SEATTLE, WA 98101-1710
(206) 387-5544
Mailing address
509 OLIVE WAY STE 1025, SEATTLE, WA 98101-1710
(206) 387-5544

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00009170
WA
103TC0700X
Clinical Psychologist
Primary
PY60410848
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00009170
STATE LICENSE
WA
Enumeration date
07/22/2010
Last updated
05/27/2022
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