Individual
MS. LARA K SYMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
2320 130TH AVE NE STE 240, BELLEVUE, WA 98005-1718
(425) 646-2778
(425) 643-2778
Mailing address
2320 130TH AVE NE STE 240, BELLEVUE, WA 98005-1718
(425) 646-2778
(425) 643-2778
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001767
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11644468
CAQH
—
01
—
306139956
UID
WA
01
—
60054
AETNA PAYOR ID
WA
01
—
708715000
MAGELLAN PROVIDER ID
MN
01
—
LWEED001
ONE HEALTH PORT PROVIDER
WA
Enumeration date
03/22/2007
Last updated
01/25/2024
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