| Avanti | |
|
2830 228th Ave Se Sammamish WA 98075-9300 | |
| (425) 614-5649 | |
| Not Available |
| Full Name | Avanti |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2830 228th Ave Se, Sammamish, Washington |
| Authorized Official Name and Position | Cheryl D'ettorre (OWNER) |
| Authorized Official Contact | 4256145649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avanti 2830 228th Ave Se Sammamish WA 98075-9300 Ph: () - | Avanti 2830 228th Ave Se Sammamish WA 98075-9300 Ph: (425) 614-5649 |
| NPI Number | 1932618014 |
|---|---|
| Provider Enumeration Date | 09/21/2017 |
| Last Update Date | 09/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932618014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH60784941 (Washington) | Primary |
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