Individual
DEENA JO EASTERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5667 176TH PL SE, BELLEVUE, WA 98006-5936
(425) 941-1450
Mailing address
5667 176TH PL SE, BELLEVUE, WA 98006-5936
(425) 941-1450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00004456
WA
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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