Individual
AMBERLYN FAITH RABAGO CASPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
3680 S CEDAR ST STE A, TACOMA, WA 98409-5728
(253) 358-0888
Mailing address
5620 112TH ST E STE 215, PUYALLUP, WA 98373-3206
(253) 446-7176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61227066
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/16/2019
Last updated
05/31/2023
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