Individual
LORY PHITCHAYAPHAK BOLLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LMFT
Contact information
Practice address
930 N BROADWAY, EVERETT, WA 98201-1409
(425) 595-3900
(425) 595-3905
Mailing address
930 N BROADWAY, EVERETT, WA 98201-1409
(425) 595-3900
(425) 595-3905
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61468588
WA
106H00000X
Marriage & Family Therapist
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Other
Enumeration date
03/12/2020
Last updated
05/09/2025
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