Organization
CHILD AND FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DOUGLAS LMFT, CMHS (OWNER/OPERATOR)
(206) 755-1848
Entity
Organization
Contact information
Practice address
11417 124TH AVE NE, SUITE 201B, KIRKLAND, WA 98033-4677
(206) 755-1848
Mailing address
11417 124TH AVE NE, SUITE 201B, KIRKLAND, WA 98033-4677
(206) 755-1848
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60689644
WA
Other
Enumeration date
01/14/2017
Last updated
01/14/2017
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