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Organization

KETCHINAE PSYCHOLOGICAL SERVICES

Active
Find providers by NPI
Organization

KETCHINAE PSYCHOLOGICAL SERVICES

Active
Other names
Ketchitnae Psychological Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BONNER DOBBS PSYD (OWNER)
(425) 484-9352
Entity
Organization

Contact information

Practice address
22722 29TH DR SE STE 100, BOTHELL, WA 98021-4420
(425) 484-9352
Mailing address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(425) 484-9352

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—

Other

Enumeration date
12/18/2023
Last updated
12/18/2023
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