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Organization
INNER CANVAS SP PLLC
Active
Organization
INNER CANVAS SP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA KRUEGER LMHC, LMFT (OWNER / PSYCHOTHERAPIST)
(425) 526-9575
Entity
Organization
Contact information
Practice address
108 S JACKSON ST STE 301, SEATTLE, WA 98104-2872
(425) 526-9575
Mailing address
2445 SQUAK MOUNTAIN LOOP SW, ISSAQUAH, WA 98027-4423
(206) 356-5175
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
NULL
101200000X
Drama Therapist
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
221700000X
Art Therapist
—
NULL
221700000X
Art Therapist
—
—
225600000X
Dance Therapist
—
NULL
225600000X
Dance Therapist
—
—
225A00000X
Music Therapist
—
NULL
225A00000X
Music Therapist
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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