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Individual

DENNIS MATTHEW MARCERON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, CDP, LMHC

Contact information

Practice address
6100 SOUTHCENTER BLVD, SUITE 300, TUKWILA, WA 98188-2441
(206) 444-7870
(206) 444-7910
Mailing address
1600 E OLIVE ST, SEATTLE MENTAL HEALTH, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH00008187
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60247695
WA
101YM0800X
Mental Health Counselor
Primary
LH00008187
WA

Other

Enumeration date
12/14/2006
Last updated
03/20/2013
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