Individual
KSENIA KOSOBUTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
20660 NE 79TH ST, REDMOND, WA 98053-7517
(720) 432-1244
Mailing address
1611 116TH AVE NE, BELLEVUE, WA 98004-3045
(720) 432-1244
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG 60225340
WA
Other
Enumeration date
09/14/2009
Last updated
03/15/2016
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