Individual provider · Type 1 NPI

Michael Theisen

Mental Health Counselor · Issaquah, WA

NPI number 1912398694 Active

Practice location

22530 SE 64th Pl Ste 220
Issaquah, WA 98027-5353

Call (425) 281-6405 Map

Fax (425) 961-0783

Mailing address

22530 SE 64th Place, Suite 220
Issaquah, WA 98027

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH60195901 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1912398694

Michael Theisen's National Provider Identifier is 1912398694, issued on Feb 17, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Issaquah, WA. The record was last updated on Feb 17, 2015.