Individual
MIKAELA QUINTINITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
21907 64TH AVE W STE 200, MOUNTLAKE TERRACE, WA 98043-6200
(360) 797-5083
Mailing address
21907 64TH AVE W STE 200, MOUNTLAKE TERRACE, WA 98043-6200
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61491342
WA
106H00000X
Marriage & Family Therapist
MG61142169
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2019
Last updated
02/05/2024
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