person
Genise Rachelle Bagby, MA,LMHC,CDPT
Mental Health Counselor in Renton, Washington
NPI 1710330824

Genise Rachelle Bagby is a Mental Health Counselor based in Renton, WA and is specialized in Mental Health. Genise Rachelle Bagby practices in Renton, WA and has the professional credentials of MA,LMHC,CDPT. The NPI Number for Genise Rachelle Bagby is 1710330824 and holds a License No. CO60705270 (Washington).

The current practice location address for Genise Rachelle Bagby is 15 S Grady Way Ste 634, Renton, WA and can be reached out via phone at 206-679-8291 and via fax at 206-274-6252. You can also correspond with Genise Rachelle Bagby through the mailing address at 15 S GRADY WAY STE 634, RENTON, WA - 98057-3218 (mailing address contact number: 206-679-8291).

Location: 15 S Grady Way Ste 634, Renton, WA, 98057-3218
person
Provider Profile Details
NPI Number
1710330824
Provider Name
Genise Rachelle Bagby
Credential
MA,LMHC,CDPT
Provider Entity Type
Individual
Gender
Female
Address
15 S Grady Way Ste 634, Renton, WA, 98057-3218
Phone Number
206-679-8291
Fax Number
206-274-6252
Provider Enumeration Date
07/13/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2099247 05 WA
institution
Provider Business Practice Location Address Details
Address
15 S Grady Way Ste 634
City
State
Zip
98057-3218
Phone Number
206-679-8291
Fax Number
206-274-6252
person
Provider Business Mailing Address Details
Address
15 S Grady Way Ste 634
City
State
Zip
98057-3218
Phone Number
206-679-8291
Fax Number
206-274-6252
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LH60844525 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CO60705270 (Washington)
Definition
Definition to come...
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