TANICKA BOOTH

OLYMPIA, WA
NPI1316755150
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2024-12-26
Last Update Date2025-06-10
Business Address
TANICKA BOOTH
3436 MARY ELDER RD NE
OLYMPIA, WA 98506-5050
Phone number: 360-528-2590
Mailing Address
TANICKA BOOTH
1200 CONCORD AVE STE 185
CONCORD, CA 94520-5006
Phone number: