Teasya Kusumo, LMFT
NPI #1063948164 in Kent, Washington
Provider Information
- NPI Number
- 1063948164
- Entity Type
- Individual
- Name
- Teasya Kusumo, LMFT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Credential
- LMFT
- Enumeration Date
- May 10, 2017
- Last Updated
- Mar 20, 2018
Practice Location
- Address
- 232 2ND AVENUE S., SUITE 201
- City
- Kent
- State
- Washington
- ZIP Code
- 98032
- Phone
- (253) 859-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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