Individual
MACKENZIE STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
16622 72ND AVE W, EDMONDS, WA 98026-5100
(425) 218-8224
Mailing address
1025 S 3RD ST, RENTON, WA 98057-2765
(425) 271-5600
(425) 227-8926
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60666677
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150768
—
WA
Enumeration date
06/26/2018
Last updated
06/26/2018
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