Individual
KAILA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
708 BROADWAY STE 170, TACOMA, WA 98402-3778
(253) 640-4049
Mailing address
PO BOX 128, WAUNA, WA 98395-0128
(208) 656-5254
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60963154
WA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/19/2018
Last updated
09/30/2025
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