Individual provider · Type 1 NPI
Elijah Wild, LMHCA
Mental Health Counselor · Issaquah, WA
NPI number
1366356917
Active
Practice location
295 NE Gilman Blvd Ste 201
Issaquah, WA 98027-2906
Fax (425) 677-7753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MHCA.MC.70163233 (WA) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1366356917
Elijah Wild, LMHCA's National Provider Identifier is 1366356917, issued on Sep 30, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Issaquah, WA. The record was last updated on Sep 30, 2026.