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Organization
INNOVATIVE MENTAL HEALTH AND PAIN CARE, LLC
Active
Organization
INNOVATIVE MENTAL HEALTH AND PAIN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J TEFFT (OWNER)
(253) 358-3143
Entity
Organization
Contact information
Practice address
1201 PACIFIC AVE STE 600, TACOMA, WA 98402-4384
(253) 358-3143
(253) 514-6239
Mailing address
1201 PACIFIC AVE STE 600, TACOMA, WA 98402-4384
(253) 358-3143
(253) 514-6239
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60521323
WA
Other
Enumeration date
05/19/2016
Last updated
10/28/2024
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