Individual
GRACE WEIGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
14803 15TH AVE NE, SHORELINE, WA 98155-7110
(206) 631-8846
Mailing address
2624 NE 133RD ST, SEATTLE, WA 98125-4343
(206) 883-8721
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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