Organization
CSIMPLEWORKS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE DIANE TAKEUCHI MA, LMHC, LMFTA (OWNER / FAMILY SYSTEMS THERAPIST)
(425) 876-2773
Entity
Organization
Contact information
Practice address
16825 48TH AVE W, SUITE 306, LYNNWOOD, WA 98037-6401
(425) 876-2773
Mailing address
16825 48TH AVE W, SUITE 306, LYNNWOOD, WA 98037-6401
(425) 876-2773
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LH60329296W
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
MG60137691
WA
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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