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Organization
TERRA DUSA, PLLC
Active
Organization
TERRA DUSA, PLLC
Active
Other names
Terra Dusa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALINA SOTO ND, LMHCA (CEO)
(206) 867-4547
Entity
Organization
Contact information
Practice address
12544 37TH AVE NE, SEATTLE, WA 98125-4655
(206) 867-4547
Mailing address
12544 37TH AVE NE, SEATTLE, WA 98125-4655
(206) 483-4584
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578809786
PROVIDER NPI
WA
01
—
MC60939101
LICENSED MENTAL HEALTH COUNSELOR
WA
01
—
NT61109144
NATUROPATHIC DOCTOR LICENSE
WA
Enumeration date
07/28/2022
Last updated
07/28/2022
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