Individual
MS. MONICA ELENA EDENHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA, PA-C
Contact information
Practice address
2704 NE 143RD ST, SEATTLE, WA 98125-3523
(206) 915-3253
Mailing address
2704 NE 143RD ST, SEATTLE, WA 98125-3523
(206) 915-3253
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
WA
363A00000X
Physician Assistant
PA10004541
WA
363AM0700X
Medical Physician Assistant
PA10004541
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014354
—
WA
Enumeration date
06/21/2006
Last updated
09/12/2023
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