Individual
EILEEN FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10423 171ST AVE NE, REDMOND, WA 98052-2737
(425) 495-7006
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001844
WA
101YM0800X
Mental Health Counselor
LH00010887
WA
Other
Enumeration date
01/22/2007
Last updated
12/15/2021
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