person
Kyle C Petricek
Mental Health Counselor in Seattle, Washington
NPI 1518571454

Kyle C Petricek is a Mental Health Counselor based in Seattle, WA and is specialized in Mental Health. Kyle C Petricek practices in Seattle, WA. The NPI Number for Kyle C Petricek is 1518571454 and holds a License No. 61223148 (Washington).

The current practice location address for Kyle C Petricek is 619 N 35Th St Ste 206, Seattle, WA and can be reached out via phone at 630-300-4017.

Location: 619 N 35Th St Ste 206, Seattle, WA, 98117-4449
person
Provider Profile Details
NPI Number
1518571454
Provider Name
Kyle C Petricek
Credential
Provider Entity Type
Individual
Gender
Male
Address
619 N 35Th St Ste 206, Seattle, WA, 98117-4449
Phone Number
630-300-4017
Fax Number
Provider Enumeration Date
09/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
619 N 35Th St Ste 206
City
State
Zip
98103-8640
Phone Number
630-300-4017
Fax Number
person
Provider Business Mailing Address Details
Address
619 N 35Th St Ste 206
City
State
Zip
98103-8640
Phone Number
630-300-4017
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
61223148 (Washington)
Definition
Definition to come...
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