Individual provider · Type 1 NPI

Kidst S. Tasisa

Counselor · Seattle, WA

NPI number 1235517814 Active

Practice location

1901 Mlk Jr Way S
Seattle, WA 98144-4801

Call (206) 322-7676 Map

Mailing address

2103 S Atlantic St
Seattle, WA 98144-3615

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XCG60562330 (WA)
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1235517814

Kidst S. Tasisa's National Provider Identifier is 1235517814, issued on May 14, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Seattle, WA. The record was last updated on Feb 17, 2023.