Individual
MR. WILDER HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
12025 115TH AVE NE STE 200, KIRKLAND, WA 98034-6935
(425) 821-1810
Mailing address
12025 115TH AVE NE STE 200, KIRKLAND, WA 98034-6935
(425) 821-1810
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LAMFT-5546T
AZ
106H00000X
Marriage & Family Therapist
Primary
MG60467470
WA
Other
Enumeration date
05/04/2015
Last updated
10/31/2019
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