Organization
BOLD LIVING COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELINDA BROOKE JOHNSON MA, LMFT, PMH-C (CEO)
(425) 495-4163
Entity
Organization
Contact information
Practice address
160 NW GILMAN BLVD STE 306, ISSAQUAH, WA 98027-2549
(425) 495-4163
Mailing address
371 NE GILMAN BLVD STE 160, ISSAQUAH, WA 98027-2901
(425) 495-4163
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
10/31/2024
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