| Blue Petal Therapy Llc | |
|
2123 113th Dr Se Unit A Lake Stevens WA 98258-5107 | |
| (720) 663-1316 | |
| Not Available |
| Full Name | Blue Petal Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2123 113th Dr Se Unit A, Lake Stevens, Washington |
| Authorized Official Name and Position | Ara Christensen (OWNER/THERAPIST) |
| Authorized Official Contact | 7206631316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Petal Therapy Llc 2123 113th Dr Se Unit A Lake Stevens WA 98258-5107 Ph: (720) 663-1316 | Blue Petal Therapy Llc 2123 113th Dr Se Unit A Lake Stevens WA 98258-5107 Ph: (720) 663-1316 |
| NPI Number | 1861159378 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 11/18/2021 |
| Certification Date | 11/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861159378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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