Provider Demographics
NPI:1821879826
Name:CISEWSKI, ERIN (LMHCA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:CISEWSKI
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2132 WESTLAKE AVE N # 145
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2404
Mailing Address - Country:US
Mailing Address - Phone:253-230-8114
Mailing Address - Fax:
Practice Address - Street 1:2132 WESTLAKE AVE N # 145
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2404
Practice Address - Country:US
Practice Address - Phone:253-230-8114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61431678101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health