Individual
MRS. KIMBROUGH LEIGH CHARBONNEAU VITULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4526 FEDERAL AVE, COMPASS HEALTH, EVERETT, WA 98203-2132
(425) 349-8476
Mailing address
PO BOX 3810, COMPASS HEALTH, EVERETT, WA 98213-8810
(425) 349-8359
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG 60491322
WA
Other
Enumeration date
05/14/2013
Last updated
09/19/2014
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