Organization
THE EVERGREEN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE R. LUCAS LMHC (OWNER)
(425) 821-1810
Entity
Organization
Contact information
Practice address
12025 115TH AVE NE, #200, KIRKLAND, WA 98034
(425) 821-1810
(425) 823-1231
Mailing address
12025 115TH AVE NE, #200, KIRKLAND, WA 98034
(425) 821-1810
(425) 823-1231
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
601889816
WA
Other
Enumeration date
12/21/2006
Last updated
04/27/2015
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