Individual
CHYNNA LEILA FUJIKO LOEFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAP
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-8241
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-8241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG60871956
—
WA
Enumeration date
05/04/2018
Last updated
09/07/2021
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