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Organization

GREENLAKE WELLNESS GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATELYN DUFEK (ADMINISTRATIVE ASSISTANT)
(206) 659-7161
Entity
Organization

Contact information

Practice address
7900 E GREEN LAKE DR N STE 202, SEATTLE, WA 98103-4818
(206) 659-7161
Mailing address
7900 E GREEN LAKE DR N STE 202, SEATTLE, WA 98103-4818

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
06/25/2019
Last updated
06/25/2019
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