Individual
MACKENZIE FRANCES BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT-A
Contact information
Practice address
312 11TH AVE W STE 201, KIRKLAND, WA 98033-5326
(425) 576-1817
Mailing address
312 11TH AVE W STE 201, KIRKLAND, WA 98033-5326
(425) 576-1817
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG61570171
WA
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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