Individual
JOHANNAH LACY MAYBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 W MAGNOLIA ST STE 433, BELLINGHAM, WA 98225-4354
(360) 594-3350
Mailing address
114 W MAGNOLIA ST STE 433, BELLINGHAM, WA 98225-4354
(970) 769-9442
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF.61535423
WA
Other
Enumeration date
08/02/2022
Last updated
06/20/2024
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