Provider Demographics
NPI:1952981458
Name:YAMASAKI, TAE (BS)
Entity Type:Individual
Prefix:
First Name:TAE
Middle Name:
Last Name:YAMASAKI
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:TAE-PATRICIA
Other - Middle Name:Y
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:2120 S PLUM ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-4539
Mailing Address - Country:US
Mailing Address - Phone:206-441-3043
Mailing Address - Fax:
Practice Address - Street 1:2120 S PLUM ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-4539
Practice Address - Country:US
Practice Address - Phone:206-441-3043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG61165749101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor