Individual
AMY SUZANNE TIBBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LCPC
Contact information
Practice address
1019 10TH ST, ANACORTES, WA 98221-4139
(360) 770-7634
Mailing address
13760 TIBBLES LN, ANACORTES, WA 98221-8236
(360) 770-7634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
BBH-LCPC-LIC50714
MT
101YM0800X
Mental Health Counselor
LH60851405
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBH-LCPC-LIC-50714
MONTANA STATE LICENSE
MT
Enumeration date
09/02/2014
Last updated
05/14/2025
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