Organization
BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR P LISENKO LMHC (LMHC OWNER)
(425) 736-6076
Entity
Organization
Contact information
Practice address
310 3RD AVE NE, SUITE 104, ISSAQUAH, WA 98027-3300
(425) 736-6076
(425) 677-7599
Mailing address
310 3RD AVE NE, SUITE 104, ISSAQUAH, WA 98027-3300
(425) 736-6076
(425) 677-7599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00010867
WA
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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