Basic Information
Provider Information
NPI: 1891213542
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALDRIDGE
FirstName: FRANK
MiddleName: TURNER
NamePrefix:  
NameSuffix:  
Credential: LMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 225 4TH AVE APT B105
Address2:  
City: KIRKLAND
State: WA
PostalCode: 980336125
CountryCode: US
TelephoneNumber: 4256230302
FaxNumber:  
Practice Location
Address1: 21907 64TH AVE W STE 320
Address2:  
City: MOUNTLAKE TERRACE
State: WA
PostalCode: 980432299
CountryCode: US
TelephoneNumber: 4256407009
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/01/2017
LastUpdateDate: 09/01/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XLH60182355WAY193200000X MULTI-SPECIALTY GROUPBehavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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