Individual
AMANDA CLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 NE 65TH ST, SEATTLE, WA 98115-6934
(206) 484-8463
Mailing address
2012 NE 65TH ST, SEATTLE, WA 98115-6934
(206) 484-8463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61162671
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138342
—
WA
Enumeration date
08/13/2018
Last updated
08/22/2023
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