# KETCHINAE PSYCHOLOGICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ketchitnae Psychological Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316715485
- **Authorized official:** DR. BONNER DOBBS PSYD (OWNER)
- **Authorized official phone:** (425) 484-9352

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |
| 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