| Integrated Wisdom Therapy, Pllc | |
|
1313 N 27th Ct Renton WA 98056-1443 | |
| (206) 858-6095 | |
| Not Available |
| Full Name | Integrated Wisdom Therapy, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1313 N 27th Ct, Renton, Washington |
| Authorized Official Name and Position | Jeanne H Wicomb (OWNER/THERAPIST) |
| Authorized Official Contact | 4258914807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wisdom Therapy, Pllc 1313 N 27th Ct Renton WA 98056-1443 Ph: (206) 858-6095 | Integrated Wisdom Therapy, Pllc 1313 N 27th Ct Renton WA 98056-1443 Ph: (206) 858-6095 |
| NPI Number | 1538784376 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538784376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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