Organization
AVANTI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL D'ETTORRE (OWNER)
(425) 614-5649
Entity
Organization
Contact information
Practice address
2830 228TH AVE SE, SAMMAMISH, WA 98075-9300
(425) 614-5649
Mailing address
2830 228TH AVE SE, SAMMAMISH, WA 98075-9300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60784941
WA
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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