Provider Demographics
NPI:1396018560
Name:HAGGLUND, FRANCINE ELLEN (AAC)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:ELLEN
Last Name:HAGGLUND
Suffix:
Gender:F
Credentials:AAC
Other - Prefix:
Other - First Name:FRANCINE
Other - Middle Name:ELLEN
Other - Last Name:MATTSON
Other - Suffix:
Other - Last Name Type:Former Name
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 1:14216 NE 21ST ST
Practice Address - Street 2:SOUND MENTAL HEALTH
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3720
Practice Address - Country:US
Practice Address - Phone:425-653-4900
Practice Address - Fax:425-653-4910
Is Sole Proprietor?:No
Enumeration Date:2012-02-17
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60323778101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health