MR. DENNIS GORDON GROVE


Address: 701 N 36th St, Ste 300, Seattle, WA 98103
Phone: 2062165000

MR. DENNIS GORDON GROVE (NPI# 1063980381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063980381
Entity Type Individual
Full Name MR. DENNIS GORDON GROVE
Credential LMHC CDPT
Practice Address 701 N 36th St, Ste 300
Seattle
WA 98103
Practice Telephone 2062165000
Practice Fax Number 2062165002
Mailing Telephone 2062165000
Mailing Fax Number 2062165002
Enumeration Date 2018-11-05
Last Update Date 2020-05-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CP60984419 WA Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
LH60336500 WA Behavioral Health & Social Service Providers

Office Location

Street Address 701 N 36TH ST, STE 300
City SEATTLE
State WA
Zip Code 98103

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1124628797 Krista P Marceron Counselor 1421 34th Ave Ste 207, Seattle, WA 98122-3634 2020-10-31
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1588263834 Laura Gardener Counselor 216 25th Ave, Seattle, WA 98122-6104 2020-10-19
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Competitor

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City SEATTLE
Zip Code 98103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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