NPI 1891242913

Amanda Wager, MSWMHP

Practitioner Mental Illness Community Based Residential Treatment Facility Seattle, WA

Practice location

Address: 204 NE 94th Street, Seattle, WA 98115-2727
Phone: (206) 461-4580
Mailing address: 15622 36th Ave NE, Lake Forest Park, WA 98155-6616

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Washington →

Registry record

NPI: 1891242913
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2016
Record last updated: 7 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.