Premier Therapeutic Experience
NPI #1124503735 in Bellevue, Washington
Provider Information
- NPI Number
- 1124503735
- Entity Type
- Organization
- Organization Name
- Premier Therapeutic Experience
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Sep 28, 2018
- Last Updated
- Sep 28, 2018
Practice Location
- Address
- 1400 112TH AVE SE STE 100
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98004-6901
- Phone
- (507) 254-7893
Authorized Official
- Name
- HEATHER MOIR
- Title
- MANAGER OF OPERATIONS
- Phone
- (507) 254-7893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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