Organization
CQ THERAPY
Active
Other names
CQ Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER MICHEL LMHC, CMHS (OWNER)
(425) 954-7264
Entity
Organization
Contact information
Practice address
19125 NORTH CREEK PARKWAY, #123B, BOTHELL, WA 98011
(425) 954-7264
Mailing address
130 2ND AVE N UNIT 1712, EDMONDS, WA 98020-2121
(425) 954-7264
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457807331
—
WA
Enumeration date
01/05/2022
Last updated
07/30/2022
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