Individual
MS. ABBY LYNN BANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CN, RD MHCA
Contact information
Practice address
13 EVANS RD, WINTHROP, WA 98862-9729
(206) 372-2210
Mailing address
PO BOX 1043, WINTHROP, WA 98862-1043
(206) 372-2210
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60199461
WA
133N00000X
Nutritionist
Primary
NU60058318
WA
Other
Enumeration date
02/20/2008
Last updated
03/19/2024
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