Individual
MELISSA BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2527 112TH DR SE, LAKE STEVENS, WA 98258-5152
(425) 220-4719
Mailing address
2527 112TH DR SE, LAKE STEVENS, WA 98258-5152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6501
EMPLOYEE ID NUMBER
WA
Enumeration date
08/25/2006
Last updated
12/06/2023
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