Individual
SPENCER WALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5339 ROOSEVELT WAY NE STE A, SEATTLE, WA 98105-3635
(206) 605-8473
(206) 590-8281
Mailing address
PO BOX 15753, SEATTLE, WA 98115-0753
(206) 605-8473
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60985500
WA
Other
Enumeration date
09/26/2019
Last updated
05/31/2024
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