Organization
SUNRISE FAMILY THERAPY AFFORDABLE FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILES HALL LMFT MHP CHT (PRESIDENT)
(253) 777-9782
Entity
Organization
Contact information
Practice address
3911 9TH ST SW # A211-212, PUYALLUP, WA 98373-5946
(253) 777-9782
Mailing address
17404 MERIDIAN E # F131, PUYALLUP, WA 98375-6234
(253) 777-9782
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60662041
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164829289
—
WA
Enumeration date
02/02/2018
Last updated
01/10/2022
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