# INNER CANVAS SP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679320071
- **Authorized official:** PAMELA KRUEGER LMHC, LMFT (OWNER / PSYCHOTHERAPIST)
- **Authorized official phone:** (425) 526-9575

## Contact information

- **Practice address:** 108 S JACKSON ST STE 301, SEATTLE, WA 98104-2872
- **Practice address phone:** (425) 526-9575
- **Mailing address:** 2445 SQUAK MOUNTAIN LOOP SW, ISSAQUAH, WA 98027-4423
- **Mailing address phone:** (206) 356-5175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101200000X | Drama Therapist | — | NULL | — |
| 101200000X | Drama Therapist | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 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