| Little Bird Child & Family Therapy | |
|
23634 Bothell Everett Hwy Suite C Bothell WA 98021-9322 | |
| (360) 348-7183 | |
| Not Available |
| Full Name | Little Bird Child & Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 23634 Bothell Everett Hwy, Bothell, Washington |
| Authorized Official Name and Position | Katrina R Hanawalt (OWNER/PROVIDER) |
| Authorized Official Contact | 3603487183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Bird Child & Family Therapy Po Box 782 Bothell WA 98041-0782 Ph: (360) 348-7183 | Little Bird Child & Family Therapy 23634 Bothell Everett Hwy Suite C Bothell WA 98021-9322 Ph: (360) 348-7183 |
| NPI Number | 1619262508 |
|---|---|
| Provider Enumeration Date | 06/18/2011 |
| Last Update Date | 06/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619262508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LF60171874 (Washington) | Primary |
| 106H00000X | Marriage & Family Therapist | LF60172289 (Washington) | Secondary |
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