Individual
LENNI ERIN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MA, SUDP, LMHCA
Contact information
Practice address
510 19TH AVE E, SEATTLE, WA 98112-4095
(206) 299-1303
Mailing address
510 19TH AVE E, SEATTLE, WA 98112-4095
(206) 299-1303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60662707
WA
101YM0800X
Mental Health Counselor
MC61308087
WA
171M00000X
Case Manager/Care Coordinator
CP60662707
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP60662707
SUDP - SUBSTANCE USE DISORDER PROFESSIONAL
WA
01
—
MC61308087
LMHCA - LICENSED MENTAL HEALTH COUNSELOR ASSOCIATE
WA
Enumeration date
12/05/2017
Last updated
10/16/2024
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