Most Relevant Information
Provider Data
NPI Number: | 1003183963 |
Provider Name: | JULIA CENTENO PETRO MA, LMFT |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: | MG60226606 |
Most Important Dates
Enumeration Date: | 11/21/2011 |
Last Updated: | 03/22/2017 |
Provider Practice Location
10001 17TH PL S
SEATTLE
WA
981681615
Practice Location Phone/Fax
Phone: | 2067666976 |
Fax: |
Provider Mailing Location
PO BOX 34703
SEATTLE
WA
981241703
Provider Mailing Phone/Fax
Phone: | 2067643335 |
Fax: | 2067640489 |