Konkin, Serena Faith

Konkin, Serena Faith is an individual health care provider with primary practice located at 16150 Ne 85Th St Ste 121 , Redmond WA 98052-3542. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Konkin, Serena Faith can be contacted via phone (505) 917-0525.

Contact Information

Primary practice address
16150 Ne 85Th St Ste 121 Redmond WA 98052-3542
Phone: (505) 917-0525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MG60479640 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 118113 California

Profile Details

NPI number 1689924441
LBN Legal business name Konkin, Serena Faith
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2012
Last updated May 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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