Individual
ANNA ELYSE TIBSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
901 BOREN AVE STE 1300, SEATTLE, WA 98104-3509
(206) 867-1645
Mailing address
901 BOREN AVE STE 1300, SEATTLE, WA 98104-3509
(206) 867-1645
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60899234
WA
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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