Individual
JOHANNYS M ACEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LMFTA
Contact information
Practice address
16771 NE 80TH ST, SUITE 108, REDMOND, WA 98052-3959
(425) 318-7118
Mailing address
16771 NE 80TH ST, SUITE 108, REDMOND, WA 98052-3959
(425) 318-7118
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG60637352
WA
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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