Individual
AUSTIN EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18333 BOTHELL WAY NE APT 420, BOTHELL, WA 98011-1943
(206) 948-5025
Mailing address
18333 BOTHELL WAY NE APT 420, BOTHELL, WA 98011-1943
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001767
WA
Other
Enumeration date
02/04/2025
Last updated
02/07/2025
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