Healthcare Provider Details

I. General information

NPI: 1467329797
Provider Name (Legal Business Name): CLAIRE GRUBB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 WESTLAKE AVE N STE A
SEATTLE WA
98109-3530
US

IV. Provider business mailing address

226 NE 91ST ST
SEATTLE WA
98115-2713
US

V. Phone/Fax

Practice location:
  • Phone: 206-639-2880
  • Fax:
Mailing address:
  • Phone: 206-495-7959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: