Organization
PREMIER THERAPEUTIC EXPERIENCE
Active
Other names
Premier Therapeutic Experience, Premier Therapeutic Experienc e
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MOIR (MANAGER OF OPERATIONS)
(507) 254-7893
Entity
Organization
Contact information
Practice address
1400 112TH AVE SE STE 100, BELLEVUE, WA 98004-6901
(507) 254-7893
Mailing address
3213 HARBOR AVE SW UNIT 103, SEATTLE, WA 98126-4600
(507) 254-7893
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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