Individual
MYRA MOJICA HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MHP, CDP, AAC
Contact information
Practice address
6100 SOUTHCENTER BLVD, TUKWILA, WA 98188-2441
(206) 444-7820
(206) 444-7810
Mailing address
1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006375
WA
101YM0800X
Mental Health Counselor
CG60150535
WA
Other
Enumeration date
01/18/2007
Last updated
12/15/2016
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