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Organization
TRAVERSE THERAPY SERVICES
Active
Organization
TRAVERSE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE ELIZABETH SOUTHARD (CEO)
(206) 853-7365
Entity
Organization
Contact information
Practice address
11416 SLATER AVE NE STE 100, KIRKLAND, WA 98033-4600
(206) 853-7364
Mailing address
PO BOX 1895, EVERETT, WA 98206-1895
(206) 853-7364
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265915813
WA
—
Enumeration date
01/24/2021
Last updated
01/24/2021
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