Healthcare Provider Details

I. General information

NPI: 1538448550
Provider Name (Legal Business Name): SANDRA ESPIRITU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SANDI ARLINE ESPIRITU LMHC

II. Dates (important events)

Enumeration Date: 08/08/2011
Last Update Date: 08/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 WESTLAKE AVE N SUITE #304
SEATTLE WA
98109-2704
US

IV. Provider business mailing address

1800 WESTLAKE AVE N SUITE #304
SEATTLE WA
98109-2704
US

V. Phone/Fax

Practice location:
  • Phone: 206-818-2425
  • Fax:
Mailing address:
  • Phone: 206-818-2425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH 60232718
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: