Agaetra Family Therapy

NPI #1811612625 in Bellevue, Washington

Provider Information

NPI Number: 1811612625
Entity Type: Organization
Organization Name: Agaetra Family Therapy
Primary Specialty: Counselor
Enumeration Date: Oct 5, 2022
Last Updated: Oct 5, 2022

Practice Location

Address: 1400 114TH AVENUE SOUTHEAST
Address 2: SUITE 100
City: Bellevue
State: Washington
ZIP Code: 98004
Phone: (971) 801-2054

Authorized Official

Name: DANIEL ARTEAGA, LMFT
Title: CEO
Phone: (971) 801-2054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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