Individual
MELULEKI NCUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
651 STRANDER BLVD STE B-110, TUKWILA, WA 98188-2943
(253) 850-2500
Mailing address
1315 N 182ND PL, SHORELINE, WA 98133-4432
(951) 288-4017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
LF61113547
WA
Other
Enumeration date
12/11/2015
Last updated
09/28/2022
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