Organization
KETCHINAE PSYCHOLOGICAL SERVICES
Active
Other names
Ketchitnae Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNER DOBBS PSYD (OWNER)
(425) 484-9352
Entity
Organization
Contact information
Practice address
22722 29TH DR SE STE 100, BOTHELL, WA 98021-4420
(425) 484-9352
Mailing address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(425) 484-9352
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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