Individual
CARLA JEAN D'AMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
1517 PACIFIC AVE N, LONG BEACH, WA 98631-3596
(360) 302-2897
Mailing address
1517 PACIFIC AVE N, LONG BEACH, WA 98631-3596
(360) 302-2897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054667
—
WA
Enumeration date
06/11/2019
Last updated
11/27/2023
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