Individual provider · Type 1 NPI

Ismael Edge Gerena Jr., MA, LMHCA, LMFTA

Mental Health Counselor · Seattle, WA

NPI number 1821418633 Active

Practice location

901 Boren Ave, Suite 1015
Seattle, WA 98104-3595

Call (206) 801-3555 Map

Fax (206) 801-3264

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC60449151 (WA)
Marriage & Family Therapist 106H00000XMG60449387 (WA)

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About NPI 1821418633

Ismael Edge Gerena Jr., MA, LMHCA, LMFTA's National Provider Identifier is 1821418633, issued on Apr 18, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Jul 2, 2015.