Organization
VIVANTE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA RUBINSTEIN LMFT (BUSINESS OWNER)
(541) 203-3525
Entity
Organization
Contact information
Practice address
2606 1/2 3RD AVE, SEATTLE, WA 98121-1214
(541) 203-3525
Mailing address
2606 1/2 3RD AVE, SEATTLE, WA 98121-1214
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LF60529888
WA
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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