person
Michael Theisen
Mental Health Counselor in Issaquah, Washington
NPI 1912398694

Michael Theisen is a Mental Health Counselor based in Issaquah, WA and is specialized in Mental Health. Michael Theisen practices in Issaquah, WA. The NPI Number for Michael Theisen is 1912398694 and holds a License No. LH60195901 (Washington).

The current practice location address for Michael Theisen is 22530 Se 64Th Pl Ste 220, Issaquah, WA and can be reached out via phone at 425-281-6405 and via fax at 425-961-0783.

Location: 22530 Se 64Th Pl Ste 220, Issaquah, WA, 98027
person
Provider Profile Details
NPI Number
1912398694
Provider Name
Michael Theisen
Credential
Provider Entity Type
Individual
Gender
Male
Address
22530 Se 64Th Pl Ste 220, Issaquah, WA, 98027
Phone Number
425-281-6405
Fax Number
425-961-0783
Provider Enumeration Date
02/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
22530 Se 64Th Pl Ste 220
City
State
Zip
98027-5353
Phone Number
425-281-6405
Fax Number
425-961-0783
person
Provider Business Mailing Address Details
Address
22530 Se 64Th Pl Ste 220
City
State
Zip
98027-5353
Phone Number
425-281-6405
Fax Number
425-961-0783
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH60195901 (Washington)
Definition
Definition to come...
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