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NORTHWEST THERAPY AND COUNSELING, PLLC

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Company Details

Legal Name: NORTHWEST THERAPY AND COUNSELING, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 23rd 2021
Expiration date: 31 Mar 2026
UBI Number: 604 732 163
ZIP code: 98312
City: Bremerton
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 6092 OSPREY CIR, BREMERTON, WA, 98312-8807, UNITED STATES

Contact Details

E-Mail: CARMINACHANG333@GMAIL.COM
Phone Number: +1 206-702-8628

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
NORTHWEST THERAPY AND COUNSELING, PLLC Registered Agent

Key Officers & Management

Name Role Address
JAMES CHANG Executor 6092 OSPREY CIR, BREMERTON, WA, 98312-8807, UNITED STATES
CARMINA CHANG Executor 6092 OSPREY CIR, BREMERTON, WA, 98312-8807, UNITED STATES
CARMINA CHANG Governing Person 6092 OSPREY CIR, BREMERTON, WA, 98312-8807, UNITED STATES

National Provider Identifier

NPI Number:
1750967089
Certification Date:
2021-01-29

Authorized Person:

Name:
CARMINA CHANG
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Fax:
2062389764
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