Organization
DEEP LAKE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN MOORE MAC, MED, MPA, LMHC (OWNER)
(206) 930-5901
Entity
Organization
Contact information
Practice address
561 E PASSAGE VIEW RD, SHELTON, WA 98584-4701
(206) 930-5901
Mailing address
1546 NE 94TH ST, SEATTLE, WA 98115-3148
(206) 930-5901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/17/2025
Last updated
10/17/2025
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