Individual
MRS. DEBRAH LYN SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14216 NE 21ST ST, NORTHCREEK, BELLEVUE, WA 98007-3720
(425) 653-4900
(425) 653-4910
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
101Y00000X
Counselor
CG60321774
WA
101YM0800X
Mental Health Counselor
Primary
CG60321774
WA
172V00000X
Community Health Worker
CG60321774
WA
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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