| Shannon Tait, Lmft, Pllc | |
|
16150 Ne 85th St Ste 222b Redmond WA 98052-3546 | |
| (206) 880-3961 | |
| (425) 636-8753 |
| Full Name | Shannon Tait, Lmft, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 16150 Ne 85th St Ste 222b, Redmond, Washington |
| Authorized Official Name and Position | Shannon Tait (OWNER/THERAPIST) |
| Authorized Official Contact | 2068803961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Tait, Lmft, Pllc 16150 Ne 85th St Ste 222b Redmond WA 98052-3546 Ph: (206) 880-3961 | Shannon Tait, Lmft, Pllc 16150 Ne 85th St Ste 222b Redmond WA 98052-3546 Ph: (206) 880-3961 |
| NPI Number | 1841864477 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841864477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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