# ANJILLIA DIBAUM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kula Movement
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538585781
- **Authorized official:** MISS ANGELA MAE BAUMGARDNER (OWNER)
- **Authorized official phone:** (206) 972-2999

## Contact information

- **Practice address:** 5340 BALLARD AVE NW, SEATTLE, WA 98107-4060
- **Practice address phone:** (206) 972-2999
- **Mailing address:** 5340 BALLARD AVE NW, SEATTLE, WA 98107-4060
- **Mailing address phone:** (206) 972-2999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 133N00000X | Nutritionist | — | WA | — |
| 171100000X | Acupuncturist | — | WA | — |
| 175F00000X | Naturopath | — | WA | — |
| 225700000X | Massage Therapist | — | MA | — |
| 261QC1500X | Community Health Clinic/Center | 602902322 | WA | Yes |

## Other

- **Enumeration date:** 03/12/2014
- **Last updated:** 03/12/2014