Individual
ANITA FAYE SNODGRASS GUSHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMHC, CDPT
Contact information
Practice address
21907 64TH AVE W, SUITE 240, MOUNTLAKE TERRACE, WA 98043-2200
(206) 444-7900
(206) 444-7910
Mailing address
14803 15TH AVE NE, CENTER FOR HUMAN SERVICES, SHORELINE, WA 98155-7110
(206) 499-9794
(206) 788-3902
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH60382513
WA
101YM0800X
Mental Health Counselor
Primary
LH60382513
WA
390200000X
Student in an Organized Health Care Education/Training Program
CO60246524
WA
Other
Enumeration date
05/04/2011
Last updated
04/09/2014
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