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Organization
THERAPY NORTHWEST PLLC
Active
Organization
THERAPY NORTHWEST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MASTERS MA LMHC (MEMBER)
(425) 449-3466
Entity
Organization
Contact information
Practice address
22525 SE 64TH PL STE 2277, ISSAQUAH, WA 98027-5383
(360) 930-9380
(425) 278-7765
Mailing address
22525 SE 64TH PL STE 2277, ISSAQUAH, WA 98027-5383
(360) 930-9380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/02/2020
Last updated
02/02/2021
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