Provider Demographics
NPI:1427472984
Name:MOHR, DAVID GREGG (MA, LMHC, CDP)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:GREGG
Last Name:MOHR
Suffix:
Gender:M
Credentials:MA, LMHC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13633 NE 42ND ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1101
Mailing Address - Country:US
Mailing Address - Phone:425-246-8572
Mailing Address - Fax:
Practice Address - Street 1:13633 NE 42ND ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1101
Practice Address - Country:US
Practice Address - Phone:425-246-8572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALC60305861101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health