| Blue Barn Therapy Group, Llc | |
|
38122 307th Ave Se Enumclaw WA 98022-9643 | |
| (253) 335-6013 | |
| Not Available |
| Full Name | Blue Barn Therapy Group, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 38122 307th Ave Se, Enumclaw, Washington |
| Authorized Official Name and Position | Joan Green Ferguson (PROVIDER/OWNER) |
| Authorized Official Contact | 2533356013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Barn Therapy Group, Llc Po Box 772 Enumclaw WA 98022-0772 Ph: (253) 335-6013 | Blue Barn Therapy Group, Llc 38122 307th Ave Se Enumclaw WA 98022-9643 Ph: (253) 335-6013 |
| NPI Number | 1629814306 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629814306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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