Provider Demographics
NPI:1518019629
Name:SEWELL, BARBARA E (MAMFC, LMHC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:E
Last Name:SEWELL
Suffix:
Gender:F
Credentials:MAMFC, 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 5TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2119
Mailing Address - Country:US
Mailing Address - Phone:206-781-5297
Mailing Address - Fax:
Practice Address - Street 1:1450 114TH AVE SE STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6934
Practice Address - Country:US
Practice Address - Phone:425-451-3239
Practice Address - Fax:425-688-1286
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005871101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health