Individual provider · Type 1 NPI

Sofiya S. Antonova, INTERPETR

Mental Health Clinic/Center (Including Community Mental Health Center) · Kirkland, WA

NPI number 1093422396 Active

Practice location

15216 116th Pl NE
Kirkland, WA 98034-4607

Call (425) 273-0817 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X604130098 (WA)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

About NPI 1093422396

Sofiya S. Antonova, INTERPETR's National Provider Identifier is 1093422396, issued on Nov 4, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Kirkland, WA. The record was last updated on Nov 4, 2022.