Individual
MR. GALEN REEVES KERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 NE 95TH ST, SEATTLE, WA 98115-2426
(206) 525-5050
Mailing address
37 VILLAGE GRN N APT B, RIVERSIDE, RI 02915-3912
(206) 790-9588
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60883715
WA
1041C0700X
Clinical Social Worker
Primary
LW61365197
WA
222Q00000X
Developmental Therapist
CG60883715
WA
Other
Enumeration date
10/17/2018
Last updated
02/04/2025
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