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Teresa Marie Macktal
Counselor in Seattle, Washington
NPI 1164165312

Teresa Marie Macktal is a Counselor based in Seattle, WA. Teresa Marie Macktal practices in Seattle, WA. The NPI Number for Teresa Marie Macktal is 1164165312 and holds a License No. 61259688 (Washington).

The current practice location address for Teresa Marie Macktal is 2100 24Th Ave S, Seattle, WA and can be reached out via phone at 206-382-5340.

Location: 2100 24Th Ave S, Seattle, WA, 98144-4637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164165312
Provider Name
Teresa Marie Macktal
Credential
Provider Entity Type
Individual
Gender
Female
Address
2100 24Th Ave S, Seattle, WA, 98144-4637
Phone Number
206-382-5340
Fax Number
Provider Enumeration Date
04/15/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61259688 05 WA
institution
Provider Business Practice Location Address Details
Address
2100 24Th Ave S
City
Seattle
State
Washington
Zip
98144-4637
Phone Number
206-382-5340
Fax Number
person
Provider Business Mailing Address Details
Address
2100 24Th Ave S
City
Seattle
State
Washington
Zip
98144-4637
Phone Number
206-382-5340
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
61259688 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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