Basic Information
| Provider Information | |||||||||
| NPI: | 1497026355 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AYRES | ||||||||
| FirstName: | JEREMY | ||||||||
| MiddleName: | STEVEN | ||||||||
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| Credential: | MHCA, CDPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1600 E OLIVE ST | ||||||||
| Address2: | SOUND MENTAL HEALTH | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981222735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063022200 | ||||||||
| FaxNumber: | 2063022210 | ||||||||
| Practice Location | |||||||||
| Address1: | 14270 NE 21ST ST | ||||||||
| Address2: | SOUND MENTAL HEALTH | ||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980073720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4256535000 | ||||||||
| FaxNumber: | 4256535010 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/24/2012 | ||||||||
| LastUpdateDate: | 09/19/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | MC60319918 | WA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101Y00000X | MC60319918 | WA | N | Behavioral Health & Social Service Providers | Counselor | 390200000X | CO60344511 | WA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.