Individual
STEPHANIE BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, SUDPT
Contact information
Practice address
4649 SUNNYSIDE AVE N STE 347, SEATTLE, WA 98103-6963
(425) 583-9925
Mailing address
PO BOX 791, EDMONDS, WA 98020-0791
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61194456
WA
Other
Enumeration date
11/14/2019
Last updated
02/10/2022
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