Individual
SHANNON RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3143 N BENNETT ST, TACOMA, WA 98407-3415
(253) 235-9087
Mailing address
3143 N BENNETT ST, TACOMA, WA 98407-3415
(425) 503-0113
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00001710
WA
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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