Provider Demographics
NPI:1538223227
Name:BLEUSTAR, JOSHUA (LMHC, NCC, ADS)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:
Last Name:BLEUSTAR
Suffix:
Gender:M
Credentials:LMHC, NCC, ADS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25420 104TH AVE SE # 1026
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-6435
Mailing Address - Country:US
Mailing Address - Phone:253-216-3089
Mailing Address - Fax:217-210-0238
Practice Address - Street 1:25420 104TH AVE SE # 1026
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-6435
Practice Address - Country:US
Practice Address - Phone:253-216-3089
Practice Address - Fax:217-210-0238
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60224988101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health