Provider Demographics
NPI:1508025917
Name:REDD, ANNIE MARIE MARASHI (LMFT, MA, MED)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:MARIE MARASHI
Last Name:REDD
Suffix:
Gender:F
Credentials:LMFT, MA, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-0936
Mailing Address - Country:US
Mailing Address - Phone:425-208-1010
Mailing Address - Fax:
Practice Address - Street 1:125 E MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-1543
Practice Address - Country:US
Practice Address - Phone:425-208-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2011-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF 60166959106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist