Individual
BLAKE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1904 3RD AVE STE 923, SEATTLE, WA 98101-1191
(206) 503-3753
Mailing address
1904 3RD AVE STE 923, SEATTLE, WA 98101-1191
(206) 503-3753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60884873
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LH60884873
WA STATE DEPARTMENT OF HEALTH LICENSE NUMBER
WA
Enumeration date
07/22/2016
Last updated
09/19/2018
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