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Organization
SEATTLE THERAPY PRACTICE, PLLC
Active
Organization
SEATTLE THERAPY PRACTICE, PLLC
Active
Other names
Agnes Kwong, Interconnections Healing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGNES KWONG PHD (OWNER, DIRECTOR)
(206) 659-5945
Entity
Organization
Contact information
Practice address
338 NW 85TH ST, SEATTLE, WA 98117-3120
(206) 659-5945
(206) 494-4562
Mailing address
338 NW 85TH ST, SEATTLE, WA 98117-3120
(206) 659-5945
(206) 494-4562
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
PY60126753
WA
1041C0700X
Clinical Social Worker
LW60686077
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255601399
NPI
WA
01
—
1457959322
NPI
WA
01
—
1487227195
NPI
WA
01
—
1740954528
NPI
WA
01
—
1881243764
NPI
WA
01
—
1982197422
NPI
WA
Enumeration date
03/20/2018
Last updated
11/08/2022
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