Provider Demographics
NPI:1356692123
Name:COUCH, FRANK D (MA, CDP,NCACI, LMFTA)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:D
Last Name:COUCH
Suffix:
Gender:M
Credentials:MA, CDP,NCACI, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 W MERCER ST STE #370
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119
Mailing Address - Country:US
Mailing Address - Phone:206-328-1719
Mailing Address - Fax:206-547-1727
Practice Address - Street 1:18 W MERCER ST STE 370
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-4053
Practice Address - Country:US
Practice Address - Phone:206-328-1719
Practice Address - Fax:206-547-1727
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00006273101YA0400X
WAMG60290630106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)