Provider Demographics
NPI:1720414543
Name:NEAL, JOSHUA MATTHEW (LMHCA)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:MATTHEW
Last Name:NEAL
Suffix:
Gender:M
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 26TH AVE E
Mailing Address - Street 2:CAPITOL HILL THERAPY
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4728
Mailing Address - Country:US
Mailing Address - Phone:801-420-8206
Mailing Address - Fax:801-420-8206
Practice Address - Street 1:421 26TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4728
Practice Address - Country:US
Practice Address - Phone:801-420-8206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2014-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60414083101Y00000X, 101YM0800X
WAMC60480555101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor