Provider Demographics
NPI:1467886762
Name:MCCALL, ANNE CLARK (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:CLARK
Last Name:MCCALL
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6026 36TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-3008
Mailing Address - Country:US
Mailing Address - Phone:206-251-4013
Mailing Address - Fax:
Practice Address - Street 1:2303 W COMMODORE WAY STE 206
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199-1261
Practice Address - Country:US
Practice Address - Phone:206-251-4013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWALH00009236101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health