Individual provider · Type 1 NPI
Kory Lance Ganuelas
Mental Health Counselor · Seattle, WA
NPI number
1891459129
Active
Practice location
2400 NE 95th St
Seattle, WA 98115-2426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1891459129
Kory Lance Ganuelas's National Provider Identifier is 1891459129, issued on Oct 22, 2021. 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 22, 2021.