Provider Demographics
NPI:1043496516
Name:ANDERSEN, ELIZABETH EILEEN (MSW, MHP,RC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:EILEEN
Last Name:ANDERSEN
Suffix:
Gender:F
Credentials:MSW, MHP,RC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 E OLIVE ST
Mailing Address - Street 2:SOUND MENTAL HEALTH
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2735
Mailing Address - Country:US
Mailing Address - Phone:206-302-2200
Mailing Address - Fax:206-302-2210
Practice Address - Street 1:400 YESLER WAY
Practice Address - Street 2:SOUND MENTAL HEALTH, ROOM 112
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2628
Practice Address - Country:US
Practice Address - Phone:206-296-1286
Practice Address - Fax:206-205-0405
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00059641101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional