Individual
BONNIE WALCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT, ATR
Contact information
Practice address
140 LAKESIDE AVE STE A73, SEATTLE, WA 98122-6551
(775) 298-5392
Mailing address
9311 OLYMPIC VIEW DR, EDMONDS, WA 98020-2397
(425) 230-0394
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
101YM0800X
Mental Health Counselor
—
WA
106H00000X
Marriage & Family Therapist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
08/27/2021
Last updated
08/27/2021
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