Provider Demographics
NPI:1477079259
Name:LEMBO, JOHN ALFRED JR (LMHC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ALFRED
Last Name:LEMBO
Suffix:JR
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2033 6TH AVE STE 826
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-2593
Mailing Address - Country:US
Mailing Address - Phone:206-414-8918
Mailing Address - Fax:206-726-7585
Practice Address - Street 1:2033 6TH AVE STE 826
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-2593
Practice Address - Country:US
Practice Address - Phone:206-414-8918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-14
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61218061101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty