Organization
ADVANCED WELLNESS MENTAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA KRISTI COGBURN ARNP (CEO)
(206) 414-9060
Entity
Organization
Contact information
Practice address
26828 MAPLE VALLEY HIGHWAY, #202, MAPLE VALLEY, WA 98038-1262
(206) 414-9060
(888) 977-3120
Mailing address
26828 MAPLE VALLEY HIGHWAY, #202, MAPLE VALLEY, WA 98038-1262
(206) 414-9060
(888) 977-3120
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
06/08/2019
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