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Organization
GOTHIC SAGE THERAPY AND DESIGN PLLC
Active
Organization
GOTHIC SAGE THERAPY AND DESIGN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY NICOLE KADERLIK MA, LMHC (FOUNDER/ THERAPIST)
(360) 340-2762
Entity
Organization
Contact information
Practice address
7518 LARIMER RD, EVERETT, WA 98208-9727
(360) 340-2762
Mailing address
7518 LARIMER RD, EVERETT, WA 98208-9727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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