Healthcare Provider Details

I. General information

NPI: 1033551650
Provider Name (Legal Business Name): MARC ANDERSON LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2013
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 WESTLAKE AVE N STE 600
SEATTLE WA
98109-3529
US

IV. Provider business mailing address

1200 WESTLAKE AVE N STE 600
SEATTLE WA
98109-3529
US

V. Phone/Fax

Practice location:
  • Phone: 206-929-2278
  • Fax:
Mailing address:
  • Phone: 206-929-2278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60717794
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: