Organization
FOURTH DIMENSION COUNSELING, INC.
Active
Other names
Fourth Dimension Counseling & Coaching
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI M KINSELLA MA, LMHC, SUDP (OWNER/CLINICAL DIRECTOR)
(425) 652-1690
Entity
Organization
Contact information
Practice address
472 FRONT ST N STE A, ISSAQUAH, WA 98027-2965
(425) 652-1690
Mailing address
26044 SE 192ND ST, MAPLE VALLEY, WA 98038-7900
(425) 301-8296
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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