Individual
MS. BETH L BLACKNALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4979 PURDUE AVE NE, SEATTLE, WA 98105-2145
(206) 522-6151
Mailing address
4979 PURDUE AVE NE, SEATTLE, WA 98105-2145
(206) 522-6151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00004603
WA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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