Organization
NEUROFEEDBACK AND COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIZ ROSKOPF LICSW (OWNER)
(425) 610-9241
Entity
Organization
Contact information
Practice address
17921 BOTHELL EVERETT HWY STE 101, BOTHELL, WA 98012-0013
(524) 610-9241
(425) 806-4600
Mailing address
17921 BOTHELL EVERETT HWY STE 101, BOTHELL, WA 98012-0013
(524) 620-9241
(258) 064-6004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3955-P
OK
261QM0850X
Adult Mental Health Clinic/Center
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Other
Enumeration date
06/04/2010
Last updated
10/23/2019
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