Individual
ELENORA P VON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
15117 MAIN STREET, SUITE 205 #124, MILL CREEK, WA 98012
(425) 285-8338
Mailing address
15117 MAIN STREET, SUITE 205 #124, MILL CREEK, WA 98012
(425) 285-8338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LW60088199
WA
1041C0700X
Clinical Social Worker
Primary
LW60088199
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982909
—
WA
Enumeration date
04/19/2010
Last updated
03/23/2023
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