Individual
MS. AYSE DIDEM KOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
FOUNTAINGATE WELLNESS 1601 10TH ST, MARYSVILLE, WA 98270
(360) 653-0374
Mailing address
2915 RAINIER AVE S APT 213, SEATTLE, WA 98144-6042
(425) 534-9605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61561015
WA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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