Organization
INDIGO MENTAL HEALTH PLLC
Active
Other names
Indigo Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISMAEL E GERENA JR. MA., LMHCA, LMFTA (MEMBER)
(425) 591-2963
Entity
Organization
Contact information
Practice address
901 BOREN AVE, SUITE 1300, SEATTLE, WA 98104-3595
(206) 801-3555
Mailing address
901 BOREN AVE, SUITE 1300, SEATTLE, WA 98104-3595
(206) 801-3555
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
603393215
WA
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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