Individual
STEPHANIE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9650 15TH AVE SW STE 100, SEATTLE, WA 98106-2576
(206) 965-1000
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
60715350
WA
106H00000X
Marriage & Family Therapist
Primary
60852355
WA
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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