Individual
MIA MONTENEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5608 17TH AVE NW STE 1606, SEATTLE, WA 98107-5232
(206) 659-7540
Mailing address
4730 UNIVERSITY WAY NE, SUITE 104 #2026, SEATTLE, WA 98105
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG61361423
WA
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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