Phoenix Star
NPI #1003779687 in Seattle, Washington
Provider Information
- NPI Number
- 1003779687
- Entity Type
- Individual
- Name
- Phoenix Star
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 9, 2025
- Last Updated
- Dec 9, 2025
Practice Location
- Address
- 4219 SW JUNEAU ST
- City
- Seattle
- State
- Washington
- ZIP Code
- 98136-1621
- Phone
- (206) 207-5395
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