| Blue River Counseling, Llc | |
|
22728 228th Avenue Se Maple Valley WA 98038 | |
| (425) 429-1588 | |
| Not Available |
| Full Name | Blue River Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 22728 228th Avenue Se, Maple Valley, Washington |
| Authorized Official Name and Position | Kerry Ann Mayhall (CEO/THERAPIST) |
| Authorized Official Contact | 4254291588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue River Counseling, Llc 26207 Maple Valley Black Diamond Hwy Suite D Maple Valley WA 98038 Ph: (425) 429-1588 | Blue River Counseling, Llc 22728 228th Avenue Se Maple Valley WA 98038 Ph: (425) 429-1588 |
| NPI Number | 1285019828 |
|---|---|
| Provider Enumeration Date | 07/24/2015 |
| Last Update Date | 07/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285019828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH60449477 (Washington) | Primary |
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