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8401 5th Ave Ne Apt 103 Seattle WA 98115-4171 | |
| (000) 000-0000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8401 5th Ave Ne Apt 103, Seattle, Washington |
| Authorized Official Name and Position | Frank Couch (OWNER) |
| Authorized Official Contact | 2062146933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13539 23rd Ave Ne Seattle WA 98125-3319 Ph: (206) 214-6933 | 8401 5th Ave Ne Apt 103 Seattle WA 98115-4171 Ph: (000) 000-0000 |
| NPI Number | 1437669652 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 10/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437669652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LF60467484 (Washington) | Primary |
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