Organization
TRI-ESSENCE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN SOMES (CLINICAL ADMINISTRATOR)
(360) 682-6499
Entity
Organization
Contact information
Practice address
32650 STATE ROUTE 20 STE E203, OAK HARBOR, WA 98277-2686
(360) 682-6499
(360) 682-6367
Mailing address
32650 STATE ROUTE 20 STE E203, OAK HARBOR, WA 98277-2686
(360) 682-6499
(360) 682-6367
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/13/2011
Last updated
07/21/2022
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