Individual
AILEEN TEDROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
23107 100TH AVE W, SUITE 5, EDMONDS, WA 98020-5062
(425) 774-8049
(425) 953-4340
Mailing address
23107 100TH AVE W, SUITE 5, EDMONDS, WA 98020-5062
(425) 774-8049
(425) 953-4340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60408965
WA
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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