MEDICARE: VALERIE WOOLLEY LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH61227613	WA
2	101YM0800X	Mental Health Counselor	MC60970223	WA

General Provider Information

NPI Number	:	1841847605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE WOOLLEY LMHC

Provider Business Mailing Address
First Line	:	5009 49TH AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-2045
Country	:	US
Telephone Number	:	206-485-2071
Fax Number	:

Provider Business Practice Location Address
First Line	:	2366 EASTLAKE AVE E STE 402
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-3394
Country	:	US
Telephone Number	:	206-485-2071
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2019
Last Update Date	:	12/26/2021

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Directions to “ VALERIE WOOLLEY LMHC” Practice Location

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