| Liberty Lake Couple And Family Therapy, Llc | |
|
1334 N Whitman Ln Ste 140 Liberty Lake WA 99019-6034 | |
| (253) 230-3613 | |
| Not Available |
| Full Name | Liberty Lake Couple And Family Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1334 N Whitman Ln Ste 140, Liberty Lake, Washington |
| Authorized Official Name and Position | Carmen Mh Green (THERAPIST) |
| Authorized Official Contact | 2532303613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Lake Couple And Family Therapy, Llc 1334 N Whitman Ln Ste 140 Liberty Lake WA 99019-6034 Ph: (253) 230-3613 | Liberty Lake Couple And Family Therapy, Llc 1334 N Whitman Ln Ste 140 Liberty Lake WA 99019-6034 Ph: (253) 230-3613 |
| NPI Number | 1679165773 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 02/09/2021 |
| Certification Date | 02/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679165773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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