| Therese Soudant | |
|
6869 Woodlawn Ave Ne Suite 110 Seattle WA 98115-5469 | |
| (206) 618-0688 | |
| Not Available |
| Full Name | Therese Soudant |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 6869 Woodlawn Ave Ne, Seattle, Washington |
| Authorized Official Name and Position | Therese Soudant (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 2066180688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therese Soudant 4415 Ne 60th St Seattle WA 98115-7603 Ph: () - | Therese Soudant 6869 Woodlawn Ave Ne Suite 110 Seattle WA 98115-5469 Ph: (206) 618-0688 |
| NPI Number | 1154870194 |
|---|---|
| Provider Enumeration Date | 10/03/2016 |
| Last Update Date | 10/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154870194 | NPI | - | NPPES |
| 106H00000X | Other | WA | SOLE PROPRIETORSHIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MG60402146 (Washington) | Primary |
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