Individual provider · Type 1 NPI

Lara Dorothy Maxwell, RC

Professional Counselor · Bellevue, WA

NPI number 1013064617 Active

Practice location

14270 NE 21st St
Bellevue, WA 98007-3720

Fax (425) 653-5010

Mailing address

1600 E Olive St, Seattle Mental Health
Seattle, WA 98122-2735

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XRC00052506 (WA)

Professional Counselor: Definition to come...

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About NPI 1013064617

Lara Dorothy Maxwell, RC's National Provider Identifier is 1013064617, issued on Jan 4, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bellevue, WA. The record was last updated on Jul 8, 2007.