Individual
MS. IDIL LEVITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
2366 EASTLAKE AVE E STE 402, SEATTLE, WA 98102-3394
(503) 862-8244
Mailing address
5637 32ND AVE SW, SEATTLE, WA 98126-2915
(301) 922-1428
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60842514
WA
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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