Individual
MIKAELA NOEL ALDACO-FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFTA
Contact information
Practice address
6532 NE 196TH PL, KENMORE, WA 98028-8653
(425) 866-0548
Mailing address
6532 NE 196TH PL, KENMORE, WA 98028-8653
(425) 866-0548
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
MG61392718
WA
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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