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Mary Lou Gage, MA,LMHC,CDPT
Mental Health Counselor in Edmonds, Washington
NPI 1962925123

Mary Lou Gage is a Mental Health Counselor based in Edmonds, WA and is specialized in Mental Health. Mary Lou Gage practices in Edmonds, WA and has the professional credentials of MA,LMHC,CDPT. The NPI Number for Mary Lou Gage is 1962925123 and holds a License No. CO60910944 (Washington).

The current practice location address for Mary Lou Gage is 21701 76Th Ave W, Edmonds, WA and can be reached out via phone at 425-472-2681.

Location: 21701 76Th Ave W, Edmonds, WA, 98026-6636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962925123
Provider Name
Mary Lou Gage
Credential
MA,LMHC,CDPT
Provider Entity Type
Individual
Gender
Female
Address
21701 76Th Ave W, Edmonds, WA, 98026-6636
Phone Number
425-472-2681
Fax Number
Provider Enumeration Date
07/19/2017
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1023515400 05 WA
institution
Provider Business Practice Location Address Details
Address
21701 76Th Ave W
City
Edmonds
State
Washington
Zip
98026-6200
Phone Number
425-472-2681
Fax Number
person
Provider Business Mailing Address Details
Address
21701 76Th Ave W
City
Edmonds
State
Washington
Zip
98026-6200
Phone Number
425-472-2681
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LH00008392 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CO60910944 (Washington)
Definition
Definition to come...
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