Provider Demographics
NPI:1700447620
Name:CAGAYAT, MONICA (LMFT)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:CAGAYAT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6021 NE 203RD ST STE 200
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-1945
Mailing Address - Country:US
Mailing Address - Phone:603-969-3237
Mailing Address - Fax:
Practice Address - Street 1:6021 NE 203RD ST STE 200
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-1945
Practice Address - Country:US
Practice Address - Phone:603-969-3237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60460799106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist