| Kikalu Pllc | |
|
21907 64th Ave W Ste 200 Mountlake Terrace WA 98043-6200 | |
| (425) 948-7248 | |
| Not Available |
| Full Name | Kikalu Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 21907 64th Ave W Ste 200, Mountlake Terrace, Washington |
| Authorized Official Name and Position | Michael Gwanjaye (THERAPIST) |
| Authorized Official Contact | 4259487248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kikalu Pllc 14623 Main St Apt B203 Mill Creek WA 98012-2013 Ph: (929) 525-7290 | Kikalu Pllc 21907 64th Ave W Ste 200 Mountlake Terrace WA 98043-6200 Ph: (425) 948-7248 |
| NPI Number | 1538851191 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/23/2023 |
| Certification Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538851191 | NPI | - | NPPES |
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