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Organization
MOUNTAINS TO SOUND MENTAL HEALTH PLLC
Active
Organization
MOUNTAINS TO SOUND MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA KENNEDY ARNP (GOVERNOR)
(253) 500-8181
Entity
Organization
Contact information
Practice address
7406 27TH ST W STE 30, UNIVERSITY PLACE, WA 98466-4637
(253) 500-8181
Mailing address
3801 N 27TH ST, PO BOX 7483, TACOMA, WA 98407-5812
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
09/22/2022
Last updated
10/21/2022
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