Most Relevant Information
Provider Data
| NPI Number: | 1003585225 |
| Provider Name: | ANNA KOBACK |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/10/2021 |
| Last Updated: | 09/10/2021 |
Provider Practice Location
1336 S 336TH ST
FEDERAL WAY
WA
980036348
Practice Location Phone/Fax
| Phone: | 2538337444 |
| Fax: |
Provider Mailing Location
325 W GOWE ST
KENT
WA
980325892
Provider Mailing Phone/Fax
| Phone: | 2538337444 |
| Fax: |