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Organization
ULTIMATE PROFESSIONAL MENTAL HEALTH SERVICES CORP
Active
Organization
ULTIMATE PROFESSIONAL MENTAL HEALTH SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNABEL OWUSU NURSE PRACTITIONER (PMHNP)
(614) 804-0866
Entity
Organization
Contact information
Practice address
748 MARKET ST # 135, TACOMA, WA 98402-3737
(832) 819-4378
(253) 954-3116
Mailing address
748 MARKET ST # 135, TACOMA, WA 98402-3737
(832) 819-4378
(253) 954-3116
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
12/14/2022
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