Individual
EDEN NOA AMITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
16715 AURORA AVE N UNIT 102, SHORELINE, WA 98133-5310
(206) 546-9766
Mailing address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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