Individual
EVERETT LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CGC
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 606-7211
(206) 606-6412
Mailing address
PO BOX 19023, SEATTLE, WA 98109-1023
(206) 606-7211
(206) 606-6412
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GT61010152
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GT61010152
GENETIC COUNSELING LICENSE
WA
Enumeration date
01/22/2020
Last updated
11/27/2023
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