Individual
KATHERINE LEBO VANTASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
3560 BRIDGEPORT WAY W STE 2C, UNIVERSITY PLACE, WA 98466-4446
(253) 460-7248
Mailing address
4201 LINDEN AVE N APT 102, SEATTLE, WA 98103-7259
(650) 678-3824
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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