Individual
ANTOINETTE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LMFT
Contact information
Practice address
12025 115TH AVE NE, D 200, KIRKLAND, WA 98034-6942
(206) 914-6820
Mailing address
829 SW 142ND PL, BURIEN, WA 98166-1555
(206) 914-6820
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60557587
WA
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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