Provider Demographics
NPI:1689369050
Name:BEARSON, DOROTHY JEAN (EDS, NCSP, LMHC)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:JEAN
Last Name:BEARSON
Suffix:
Gender:F
Credentials:EDS, NCSP, LMHC
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:JEAN
Other - Last Name:HAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 WESTLAKE AVE N STE 810
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-3529
Mailing Address - Country:US
Mailing Address - Phone:206-801-1139
Mailing Address - Fax:206-299-9446
Practice Address - Street 1:1200 WESTLAKE AVE N STE 810
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-3529
Practice Address - Country:US
Practice Address - Phone:206-801-1139
Practice Address - Fax:206-299-9446
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60997088101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health