Organization
PNW SEX THERAPY COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIA FINE MS, LMFT, CST (CO-OWNER)
(561) 862-7090
Entity
Organization
Contact information
Practice address
1200 WESTLAKE AVE N STE 407, SEATTLE, WA 98109-3528
(206) 705-3059
Mailing address
1200 WESTLAKE AVE N STE 407, SEATTLE, WA 98109-3528
(206) 705-3059
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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