NPI | 1184013161 |
---|---|
Entity Type | Organization |
Authorized Contact | DESSETTA L SMITH Billing/Office Mngr., Auth. Officia 425-740-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LW00009392) |
101YP2500X Counselor Professional (Licence: WA LW00009392) | |
104100000X Social Worker (Licence: WA LW00009392) | |
1041C0700X Social Worker Clinical (Licence: WA LW00009392) | |
106H00000X Marriage & Family Therapist | |
163W00000X Registered Nurse (Licence: WA RN00059378) | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP30007518) | |
Enumeration Date | 2015-01-14 |
Last Update Date | 2021-09-15 |