Kayla Geo Petz
Counselor in Everett, WA. Individual provider (NPI-1).
NPI number1164041398
StatusActive
Last updated in NPPESApr 8, 2020
Details
- NPI
- 1164041398
- Entity type
- Individual (NPI-1)
- Name
- Kayla Geo Petz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2020
- Certification date
- Apr 8, 2020
- Last updated
- Apr 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | CG61061129 | WA | Yes |
Practice location
4526 Federal AveEverett, WA 98203-2132
Phone 425-349-6200
Mailing address
4526 Federal AveEverett, WA 98203-2132
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