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Organization

BELLEVUE COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN WILLIAM LENNON ED.D (CLINICAL DIRECTOR)
(425) 454-0616
Entity
Organization

Contact information

Practice address
1160 140TH AVE NE, STE F, BELLEVUE, WA 98005-2978
(425) 454-0616
(425) 637-1289
Mailing address
1160 140TH AVE NE, STE F, BELLEVUE, WA 98005-2978
(425) 454-0616
(425) 637-1289

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
602228527
WA

Other

Enumeration date
01/31/2012
Last updated
01/31/2012
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