Individual
SUSAN YOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1752 NW MARKET ST, SEATTLE, WA 98107-5264
(206) 414-9304
Mailing address
1752 NW MARKET ST # 4387, SEATTLE, WA 98107-5264
(206) 414-9304
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MG61115932
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2019
Last updated
08/16/2021
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