Individual
MCKENNA E PHILLABAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1817 QUEEN ANNE AVE N STE 204, SEATTLE, WA 98109-2876
(206) 765-8265
Mailing address
4568 34TH AVE W, SEATTLE, WA 98199-1133
(253) 970-6697
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
61132399
WA
Other
Enumeration date
09/18/2019
Last updated
04/27/2021
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