Edmond Dennis IV, MSP
Marriage & Family Therapist in Federal Way, WA. Individual provider (NPI-1).
NPI number1821607417
StatusActive
Last updated in NPPESJul 12, 2023
Details
- NPI
- 1821607417
- Entity type
- Individual (NPI-1)
- Name
- Edmond Dennis IV
- Credential
- MSP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2020
- Certification date
- Jul 12, 2023
- Last updated
- Jul 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MG61416353 | WA | Yes |
Practice location
3430 Sw 320th StFederal Way, WA 98023-2292
Phone 253-289-6099 · Fax 253-231-7251
Mailing address
3430 Sw 320th StFederal Way, WA 98023-2292
Phone 253-289-6099 · Fax 253-231-7251
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All 57 Marriage & Family Therapist providers in Federal Way · All 3,475 providers in Federal Way
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