Provider Demographics
NPI:1043448079
Name:WESCLIFF, MORGAN R
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:R
Last Name:WESCLIFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14371 30TH AVE NE APT 3
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-8202
Mailing Address - Country:US
Mailing Address - Phone:317-457-0563
Mailing Address - Fax:
Practice Address - Street 1:14371 30TH AVE NE APT 3
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-8202
Practice Address - Country:US
Practice Address - Phone:317-457-0563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC60102623101Y00000X
WACG60170174101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor