| Deep Lake Counseling | |
|
561 E Passage View Rd Shelton WA 98584-4701 | |
| (206) 930-5901 | |
| Not Available |
| Full Name | Deep Lake Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 561 E Passage View Rd, Shelton, Washington |
| Authorized Official Name and Position | Kristin Moore (OWNER) |
| Authorized Official Contact | 2069305901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep Lake Counseling 1546 Ne 94th St Seattle WA 98115-3148 Ph: (206) 930-5901 | Deep Lake Counseling 561 E Passage View Rd Shelton WA 98584-4701 Ph: (206) 930-5901 |
| NPI Number | 1518834308 |
|---|---|
| Provider Enumeration Date | 10/17/2025 |
| Last Update Date | 10/17/2025 |
| Certification Date | 10/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518834308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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