Provider Demographics
NPI:1447840053
Name:STRAUSS, EVAN (LMHC)
Entity type:Individual
Prefix:
First Name:EVAN
Middle Name:
Last Name:STRAUSS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3228 NW 59TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3331
Mailing Address - Country:US
Mailing Address - Phone:206-406-7035
Mailing Address - Fax:
Practice Address - Street 1:3228 NW 59TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3331
Practice Address - Country:US
Practice Address - Phone:206-406-7035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-19
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010034101YM0800X
WALH61085057101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health