Goetz, David A
Goetz, David A is an sole proprietor health care provider with primary practice located at 608 State St Ste 130 , Kirkland WA 98033-6602. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Goetz, David A can be contacted via phone (425) 823-7066.Contact Information
Primary practice address
608 State St Ste 130
Kirkland WA 98033-6602
Phone: (425) 823-7066
Fax: (425) 468-9361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | RC00021752 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | RC00021752 | Washington |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | RC00021752 | Washington |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | RC00021752 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH 60148410 | Washington |
Profile Details
| NPI number | 1952577124 |
|---|---|
| LBN Legal business name | Goetz, David A |
| Credentials | M.S. LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2008 |
| Last updated | Jun 16th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952577124 | NPPES |
| Washington | Other | 00021752 | WASHINGTON STATE REGISTERED COUNSELOR |
| Washington | Other | LH 60148410 | WASHINGTON STATE REGISTERED COUNSELOR |
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