# CQ THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CQ Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255092920
- **Authorized official:** GINGER MICHEL LMHC, CMHS (OWNER)
- **Authorized official phone:** (425) 954-7264

## Contact information

- **Practice address:** 19125 NORTH CREEK PARKWAY, \#123B, BOTHELL, WA 98011
- **Practice address phone:** (425) 954-7264
- **Mailing address:** 130 2ND AVE N UNIT 1712, EDMONDS, WA 98020-2121
- **Mailing address phone:** (425) 954-7264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101200000X | Drama Therapist | — | NULL | — |
| 101200000X | Drama Therapist | — | — | — |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 01/05/2022
- **Last updated:** 07/30/2022