Provider Demographics
NPI:1801634241
Name:WAKAYAMA, AKIHIRO (LMHCA)
Entity type:Individual
Prefix:
First Name:AKIHIRO
Middle Name:
Last Name:WAKAYAMA
Suffix:
Gender:M
Credentials:LMHCA
Other - Prefix:
Other - First Name:AKI
Other - Middle Name:
Other - Last Name:WAKAYAMA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17330 135TH AVE NE STE 2B
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-8522
Mailing Address - Country:US
Mailing Address - Phone:425-998-9769
Mailing Address - Fax:844-837-1339
Practice Address - Street 1:17330 135TH AVE NE STE 2B
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8522
Practice Address - Country:US
Practice Address - Phone:425-998-9769
Practice Address - Fax:844-837-1339
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health