Provider Demographics
NPI:1740863406
Name:SERAFIN, MIKAELA (MDIV, MA, LMHCA)
Entity type:Individual
Prefix:
First Name:MIKAELA
Middle Name:
Last Name:SERAFIN
Suffix:
Gender:F
Credentials:MDIV, MA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 1ST AVE N # 301
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2301
Mailing Address - Country:US
Mailing Address - Phone:707-925-2309
Mailing Address - Fax:
Practice Address - Street 1:2120 1ST AVE N # 301
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2301
Practice Address - Country:US
Practice Address - Phone:707-925-2309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-30
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WA61160540101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health