Individual
TEASYA KUSUMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
232 2ND AVENUE S., SUITE 201, KENT, WA 98032
(253) 859-0300
Mailing address
232 2ND AVE S STE 201, KENT, WA 98032-5862
(253) 859-0300
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60670112
WA
Other
Enumeration date
05/10/2017
Last updated
03/20/2018
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