# THERESE SOUDANT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154870194
- **Authorized official:** THERESE SOUDANT LMFTA (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (206) 618-0688

## Contact information

- **Practice address:** 6869 WOODLAWN AVE NE, SUITE 110, SEATTLE, WA 98115-5469
- **Practice address phone:** (206) 618-0688
- **Mailing address:** 4415 NE 60TH ST, SEATTLE, WA 98115-7603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MG60402146 | WA | Yes |

## Other

- **Enumeration date:** 10/03/2016
- **Last updated:** 10/03/2016