Provider Demographics
NPI:1124317268
Name:MEGA, VERONICA (LMHC)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:MEGA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15152 65TH AVE S
Mailing Address - Street 2:#819
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2579
Mailing Address - Country:US
Mailing Address - Phone:206-234-8707
Mailing Address - Fax:
Practice Address - Street 1:316 BROADWAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5325
Practice Address - Country:US
Practice Address - Phone:206-464-3923
Practice Address - Fax:206-621-8374
Is Sole Proprietor?:No
Enumeration Date:2011-03-29
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 00008907101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health