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Organization
PARTUM WELLNESS PLLC
Active
Organization
PARTUM WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEMA SOUFAN LCPC (PSYCHOTHERAPIST)
(206) 635-9006
Entity
Organization
Contact information
Practice address
600 1ST AVE STE 102, SEATTLE, WA 98104-2287
(206) 635-9006
Mailing address
2108 NW RUSTLING FIR LN, SILVERDALE, WA 98383-7867
(708) 870-0312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180.016037
IL LICENSE
IL
01
—
LH61493528
WA LICENSE
WA
Enumeration date
03/20/2024
Last updated
05/07/2024
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