Tracey Jean Lasley AAC

NPI 1235565672 - Counselor - 101Y00000X

NPI Details
NPI 1235565672
Gender Female
Enumeration Date 09/17/2013
Last Updated 09/17/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
6100 SOUTHCENTER BLVD
CFS SOUTHCENTER
TUKWILA WA, 98188-2442, US
Phone (206) 444-7900
Fax (206) 444-7910
Business Location
1600 E OLIVE ST
SOUND MENTAL HEALTH
SEATTLE WA, 98122-2735, US
Phone (206) 302-2200
Fax (206) 302-2210
Toxanomy
Taxonomy Code 101Y00000X
License State Washington
License Number CG60414889
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According to our database, Mrs. Tracey Jean Lasley AAC NPI is 1235565672, taxonomy code is 101Y00000X and license number is CG60414889, license state is located at Washington. Tracey Jean Lasley AAC physically located at 6100 Southcenter Blvd, Tukwila WA, 98188-2442. NPI Number Tracey Jean Lasley AAC has the Individual type.

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1235565672 NPI number is provided on an as is basis without warranty of any kind. 1235565672 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Jean Lasley AAC are for informational purposes only.