Individual provider · Type 1 NPI

Logan Denzil Breitweiser

Mental Health Counselor · Seattle, WA

NPI number 1174245872 Active

Practice location

123 NW 36th St Ste 210
Seattle, WA 98107-4959

Call (206) 402-5767 Map

Mailing address

2801 E Yesler Way Apt 31
Seattle, WA 98122-6576

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XMC61463215 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1174245872

Logan Denzil Breitweiser's National Provider Identifier is 1174245872, issued on Sep 19, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Oct 11, 2023.