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Individual

MR. ANTHONIE ONTREAY ETIENNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
3911 9TH ST SW STE 205, PUYALLUP, WA 98373-5946
(760) 881-5559
(442) 255-1126
Mailing address
PO BOX 731915, PUYALLUP, WA 98373-0045
(442) 348-3822
(442) 255-1126

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
103K00000X
Behavior Analyst
106H00000X
Marriage & Family Therapist
Primary
LF61658464
WA
106H00000X
Marriage & Family Therapist
LMFT138474
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2335703
WA
Enumeration date
04/29/2014
Last updated
05/14/2026
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