Organization
FAMILY FOCUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON T CROCKETT LMFT (PROGRAM DIRECTOR)
(425) 771-6600
Entity
Organization
Contact information
Practice address
9657 FIRDALE AVENUE, EDMONDS, WA 98020-6519
(206) 629-4065
(360) 698-9296
Mailing address
PO BOX 2784, SILVERDALE, WA 98383-2784
(206) 629-4065
(360) 698-9296
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
12/14/2011
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