Individual
MELISSA OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
22722 29TH DR SE STE 100, BOTHELL, WA 98021-4420
(425) 205-5455
Mailing address
22722 29TH DR SE STE 100, BOTHELL, WA 98021-4420
(425) 205-5455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LF60711763
WA
106H00000X
Marriage & Family Therapist
Primary
LF607117763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LF60711763
MARRIAGE AND FAMILY THERAPIST LICENSE
WA
Enumeration date
02/27/2014
Last updated
08/29/2018
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