Individual
TED VIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
29633 MARINE VIEW DR SW, FEDERAL WAY, WA 98023-3400
(253) 945-1004
(253) 945-1004
Mailing address
29633 MARINE VIEW DR SW, FEDERAL WAY, WA 98023-3400
(253) 945-1004
(253) 945-1004
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00002345
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216458
MHN
WA
Enumeration date
06/14/2006
Last updated
10/18/2007
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