| Agaetra Family Therapy | |
|
1400 114th Avenue Southeast Suite 100 Bellevue WA 98004 | |
| (971) 801-2054 | |
| Not Available |
| Full Name | Agaetra Family Therapy |
|---|---|
| Speciality | Counselor |
| Location | 1400 114th Avenue Southeast, Bellevue, Washington |
| Authorized Official Name and Position | Daniel Arteaga (CEO) |
| Authorized Official Contact | 9718012054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agaetra Family Therapy 1400 114th Avenue Southeast Suite 100 Bellevue WA 98004 Ph: (971) 801-2054 | Agaetra Family Therapy 1400 114th Avenue Southeast Suite 100 Bellevue WA 98004 Ph: (971) 801-2054 |
| NPI Number | 1811612625 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811612625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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