Individual
BETHANY NICOLE TUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5306 BALLARD AVE NW STE 319, SEATTLE, WA 98107
(415) 579-3223
Mailing address
5306 BALLARD AVE NW STE 319, SEATTLE, WA 98107-4366
(415) 579-3223
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60900990
WA
106H00000X
Marriage & Family Therapist
MG60675593
WA
Other
Enumeration date
06/21/2016
Last updated
07/12/2019
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