Michael Theisen
NPI #1912398694 in Issaquah, Washington
Provider Information
- NPI Number
- 1912398694
- Entity Type
- Individual
- Name
- Michael Theisen
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Feb 17, 2015
- Last Updated
- Feb 17, 2015
Practice Location
- Address
- 22530 SE 64TH PL STE 220
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98027-5353
- Phone
- (425) 281-6405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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