Individual
MS. MARY THERESE KELLEHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
1800 WESTLAKE AVE NORTH, SUITE 204, SEATTLE, WA 98109-2782
(206) 707-2718
Mailing address
PO BOX 30906, SEATTLE, WA 98113-0906
(206) 707-2718
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1521
MN
106H00000X
Marriage & Family Therapist
Primary
166.000844
IL
Other
Enumeration date
09/26/2011
Last updated
05/27/2015
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