Individual
COLLEEN ILLSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
221 AVENUE B, SNOHOMISH, WA 98290-2840
(425) 349-7244
Mailing address
221 AVENUE B, SNOHOMISH, WA 98290-2840
(425) 349-7244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00008189
WA
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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