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Logan Denzil Breitweiser
Mental Health Counselor in Seattle, Washington
NPI 1174245872

Logan Denzil Breitweiser is a Mental Health Counselor based in Seattle, WA and is specialized in Mental Health. Logan Denzil Breitweiser practices in Seattle, WA. The NPI Number for Logan Denzil Breitweiser is 1174245872 and holds a License No. (Washington).

The current practice location address for Logan Denzil Breitweiser is 123 Nw 36Th St Ste 210, Seattle, WA and can be reached out via phone at 206-402-5767.

Location: 123 Nw 36Th St Ste 210, Seattle, WA, 98122-6576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174245872
Provider Name
Logan Denzil Breitweiser
Credential
Provider Entity Type
Individual
Gender
Male
Address
123 Nw 36Th St Ste 210, Seattle, WA, 98122-6576
Phone Number
206-402-5767
Fax Number
Provider Enumeration Date
09/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
123 Nw 36Th St Ste 210
City
Seattle
State
Washington
Zip
98107-4959
Phone Number
206-402-5767
Fax Number
person
Provider Business Mailing Address Details
Address
123 Nw 36Th St Ste 210
City
Seattle
State
Washington
Zip
98107-4959
Phone Number
206-402-5767
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
MC61463215 (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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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