| CQ Therapy | |
|
19125 North Creek Parkway #123b Bothell WA 98011 | |
| (425) 954-7264 | |
| Not Available |
| Full Name | CQ Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19125 North Creek Parkway, Bothell, Washington |
| Authorized Official Name and Position | Ginger Michel (OWNER) |
| Authorized Official Contact | 4259547264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| CQ Therapy 130 2nd Ave N Unit 1712 Edmonds WA 98020-2121 Ph: (425) 954-7264 | CQ Therapy 19125 North Creek Parkway #123b Bothell WA 98011 Ph: (425) 954-7264 |
| NPI Number | 1255092920 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 07/30/2022 |
| Certification Date | 07/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255092920 | NPI | - | NPPES |
| 1457807331 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101200000X | Drama Therapist | () | Secondary |
| 101Y00000X | Counselor | () | Secondary |
| 101YM0800X | Counselor - Mental Health | () | Primary |
| 106H00000X | Marriage & Family Therapist | () | Secondary |
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