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Individual

DR. VARIDA KAUTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., LMFT

Contact information

Practice address
7462 NW IOKA DR, SILVERDALE, WA 98383-9332
(415) 361-8038
(510) 373-2342
Mailing address
2916 NW BUCKLIN HILL RD, APT. 262, SILVERDALE, WA 98383-8514
(415) 361-8038
(510) 373-2342

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC31124
CA
106H00000X
Marriage & Family Therapist
Primary
MFT.LF.60591254
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11334010
CAQH NUMBER
01
7625515
AETNA PROVIDER NUMBER
Enumeration date
06/26/2006
Last updated
04/27/2017
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