Provider First Line Business Practice Location Address:
1245 10TH AVE E
Provider Second Line Business Practice Location Address:
ST MARK'S COUNSELING SERVICE
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98102-4398
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-323-0339
Provider Business Practice Location Address Fax Number:
206-323-0339
Provider Enumeration Date:
11/23/2011