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Individual

CASSANDRA MIA BONITTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 S 2ND ST, RENTON, WA 98057-2007
(425) 424-6310
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC61153001
WA
101Y00000X
Counselor
103T00000X
Psychologist
Primary
PY61261562
WA

Other

Enumeration date
05/19/2021
Last updated
12/16/2024
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