Provider Demographics
NPI:1861544264
Name:BESEL, AMANDA MARIE (LMHC, CDP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:MARIE
Last Name:BESEL
Suffix:
Gender:F
Credentials:LMHC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:206-304-8974
Mailing Address - Fax:
Practice Address - Street 1:6100 SOUTHCENTER BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2441
Practice Address - Country:US
Practice Address - Phone:206-444-7906
Practice Address - Fax:206-444-7890
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00004043101YA0400X
WALH60344734101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)