Individual
MR. GLEN P. MERRIWETHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMHC, CDP
Contact information
Practice address
40 LAKE BELLEVUE DR, SUITE 100, BELLEVUE, WA 98005-2479
(425) 641-1999
(425) 641-4069
Mailing address
40 LAKE BELLEVUE DR, SUITE 100, BELLEVUE, WA 98005-2479
(425) 641-1999
(425) 641-4069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003052
WA
101YM0800X
Mental Health Counselor
LH00006263
WA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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