Individual
MS. TINA MARIE ENSMINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1400 112TH AVE SE STE 202, BELLEVUE, WA 98004-6901
(206) 650-0254
Mailing address
1400 112TH AVE SE STE 202, BELLEVUE, WA 98004-6901
(206) 650-0254
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG 602 66991
WA
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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