Individual
MATTIE JEAN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
(253) 697-3730
Mailing address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
(253) 697-3730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MG60696563
WA
106H00000X
Marriage & Family Therapist
Primary
LF60911626
WA
Other
Enumeration date
10/11/2018
Last updated
11/06/2024
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