Individual
PHYLLISS MARIE EBERHARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LMFT CCDCI
Contact information
Practice address
11126 SE 256TH STREET, SUITE O 204, KENT, WA 98030-5636
(253) 852-1586
(253) 852-7751
Mailing address
11126 SE 256TH STREET, SUITE O 204, KENT, WA 98030-5636
(253) 852-1586
(253) 852-7751
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CB00006138
WA
106H00000X
Marriage & Family Therapist
LF00001439
WA
Other
Enumeration date
10/24/2006
Last updated
09/11/2025
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