Individual
BRIEANNA IHLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
19031 33RD AVE W STE 101, LYNNWOOD, WA 98036-4722
(206) 313-8840
Mailing address
21508 32ND PL W, BRIER, WA 98036-8095
(425) 971-9349
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
61149133
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
WA
Enumeration date
07/26/2021
Last updated
07/26/2021
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