Provider Demographics
NPI:1932660941
Name:BEN-MENACHEM, MARCEE (MED, NBCT, LMHCA)
Entity Type:Individual
Prefix:MRS
First Name:MARCEE
Middle Name:
Last Name:BEN-MENACHEM
Suffix:
Gender:F
Credentials:MED, NBCT, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8473 FERNCLIFF AVE NE
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-2937
Mailing Address - Country:US
Mailing Address - Phone:206-795-9293
Mailing Address - Fax:
Practice Address - Street 1:12715 MILLER RD NE STE 201
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-6217
Practice Address - Country:US
Practice Address - Phone:206-795-9293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-31
Last Update Date:2019-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60884558101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional