Organization
AGING WISDOM INC
Active
Other names
Lisa Mayfield
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DEROSIER MAYFIELD LMHC (PRESIDENT)
(206) 660-3276
Entity
Organization
Contact information
Practice address
701 DEXTER AVE N STE 300, SEATTLE, WA 98109-4342
(206) 660-3276
(866) 464-8906
Mailing address
PO BOX 31175, SEATTLE, WA 98103-1175
(206) 660-3276
(866) 464-8906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00007998
WA
Other
Enumeration date
06/18/2007
Last updated
08/22/2020
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