| NPI | 1992851901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY STUART ANTON Partner 253-475-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00003821) |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA MD000145521) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: WA PY00000602) | |
| 103TC1900X Psychologist Counseling (Licence: WA PY00001347) | |
| 103T00000X Psychologist (Licence: WA PY00000602) | |
| 104100000X Social Worker (Licence: WA SW40000215) | |
| 1041C0700X Social Worker Clinical (Licence: WA SW40000215) | |
| 106H00000X Marriage & Family Therapist (Licence: WA LF00001900) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP30006203) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-08-13 |