Provider Demographics
NPI:1457657199
Name:CELEN, FERDA (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:FERDA
Middle Name:
Last Name:CELEN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 112TH AVE NE STE 240W
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-2965
Mailing Address - Country:US
Mailing Address - Phone:425-770-2765
Mailing Address - Fax:425-502-9681
Practice Address - Street 1:1800 112TH AVE NE STE 240W
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-2965
Practice Address - Country:US
Practice Address - Phone:425-770-2765
Practice Address - Fax:425-502-9681
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61186700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health