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Individual

KATHRYN J FENTRESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
5007 SAMISH WAY, BELLINGHAM, WA 98229-8917
(360) 738-6884
(360) 738-6884
Mailing address
5007 SAMISH WAY, BELLINGHAM, WA 98229-8917
(360) 738-6884
(360) 738-6884

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0003642
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009812
WA
05
8466286
WA
Enumeration date
11/16/2006
Last updated
07/28/2022
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