Kusumo, Teasya
Kusumo, Teasya is an individual health care provider with primary practice located at 232 2Nd Avenue S., Suite 201 , Kent WA 98032. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kusumo, Teasya can be contacted via phone (253) 859-0300.Contact Information
Primary practice address
232 2Nd Avenue S., Suite 201
Kent WA 98032
Phone: (253) 859-0300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LF60670112 | Washington |
Profile Details
| NPI number | 1063948164 |
|---|---|
| LBN Legal business name | Kusumo, Teasya |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2017 |
| Last updated | Mar 20th, 2018 - about 8 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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