Organization
SEATTLE THERAPY PRACTICE, PLLC
Active
Other names
Agnes Kwong, Interconnections Healing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGNES KWONG PHD (OWNER, DIRECTOR)
(206) 659-5945
Entity
Organization
Contact information
Practice address
338 NW 85TH ST, SEATTLE, WA 98117-3120
(206) 659-5945
(206) 494-4562
Mailing address
338 NW 85TH ST, SEATTLE, WA 98117-3120
(206) 659-5945
(206) 494-4562
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
PY60126753
WA
1041C0700X
Clinical Social Worker
LW60686077
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255601399
NPI
WA
01
—
1457959322
NPI
WA
01
—
1487227195
NPI
WA
01
—
1740954528
NPI
WA
01
—
1881243764
NPI
WA
01
—
1982197422
NPI
WA
Enumeration date
03/20/2018
Last updated
11/08/2022
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