Ganuelas, Kory Lance

Ganuelas, Kory Lance is an individual health care provider with primary practice located at 2400 Ne 95Th St , Seattle WA 98115-2426. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Ganuelas, Kory Lance can be contacted via phone (206) 525-5050.

Contact Information

Primary practice address
2400 Ne 95Th St Seattle WA 98115-2426
Phone: (206) 525-5050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1891459129
LBN Legal business name Ganuelas, Kory Lance
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2021
Last updated Oct 22nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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