Individual
MICHELLE L BIANCHI-GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 SE EVERETT MALL WAY, STE 200, EVERETT, WA 98208
(425) 353-5656
(425) 513-2807
Mailing address
906 SE EVERETT MALL WAY STE 200, EVERETT, WA 98208-3743
(425) 353-5656
(425) 513-2807
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60316986
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2078201
—
WA
Enumeration date
04/11/2017
Last updated
02/12/2020
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