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Individual
GLENDA DEMATTY
Active
Individual
GLENDA DEMATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LH61128052
WA
101YM0800X
Mental Health Counselor
MC60692217
WA
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG 60535559
AAC CREDENTIAL NUMBER
WA
01
—
LH61128052
LMHC
WA
01
—
MC60692217
LMHCA
WA
Enumeration date
03/04/2015
Last updated
12/07/2021
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