Organization
THIS TOO SHALL PASS
Active
Other names
Accountable Future
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE ELLEN PUEBLA LMFT, CMHS (THERAPIST)
(360) 809-2971
Entity
Organization
Contact information
Practice address
9951 MICKELBERRY RD NW STE 137, SILVERDALE, WA 98383-8309
(888) 868-6952
Mailing address
PO BOX 5828, BREMERTON, WA 98312-0596
(360) 809-2971
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 60107671
WA
106H00000X
Marriage & Family Therapist
LF 60300097
WA
Other
Enumeration date
09/19/2015
Last updated
09/19/2015
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