Vanessa Evelyn Soderberg, M.S. L.M.F.T.
Individual provider Active NPI Marriage & Family Therapist · Camano Island, WA
NPI 1619099751 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619099751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LF00000966 (WA)
- Practice address
- 453 House PL
Camano Island, WA 98282-8579 - Phone
- (360) 387-5136
- Fax
- (360) 387-1644
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF00000966 | WA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF00000966 | WA | Yes |
Addresses
Primary practice location
453 House PL
Camano Island, WA 98282-8579
Mailing address
PO Box 2646
Stanwood, WA 98292-2646
Phone (360) 387-5136
Other providers in Camano Island, WA
- Barbara Anne Riffle
- Hannah Savoy
- Nancy Kay Schmitz
- Bradley Scott
- Shelby Seay
- Elissa Marie Sorenson
- Marilyn N Sueirro
- Melissa L Sullivan
- Suzanne L. Taylor, PH.D., P.S.
- Suzanne Lee Taylor
All providers in Camano Island, WA · Marriage & Family Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.