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Organization
PAUL KENNETH HENRY MED LMHC PS
Active
Organization
PAUL KENNETH HENRY MED LMHC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL HENRY MED (COUNSELOR)
(253) 394-6045
Entity
Organization
Contact information
Practice address
9101 BRIDGEPORT WAY SW STE D2, LAKEWOOD, WA 98499-2419
(253) 394-6045
Mailing address
9101 BRIDGEPORT WAY SW STE D2, LAKEWOOD, WA 98499-2419
(253) 394-6045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60300442
WA
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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