Individual
AMBER TELISA CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
551 BOGACHIEL WAY, FORKS, WA 98331-9120
(360) 374-5011
Mailing address
530 BOGACHIEL WAY, FORKS, WA 98331-9120
(360) 374-5011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WA
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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