Individual
DESILEE LYNN MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
4423 S 3RD AVE, EVERETT, WA 98203-2515
(425) 426-4172
Mailing address
1411 113TH AVE SE, LAKE STEVENS, WA 98258-9784
(425) 426-4172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/12/2016
Last updated
03/12/2017
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