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Organization

BORDERLANDS THERAPY COLLABORATIVE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GENEVA REYNAGA ABIKO PSYD (FOUNDER/EXECUTIVE DIRECTOR)
(703) 493-1550
Entity
Organization

Contact information

Practice address
14150 NE 20TH ST # F1-126, BELLEVUE, WA 98007-3700
(703) 493-1550
Mailing address
14150 NE 20TH ST # F1-126, BELLEVUE, WA 98007-3700

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
07/10/2023
Last updated
07/10/2023
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