Individual
MR. JAMES RICHARD MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFTA, CCHT
Contact information
Practice address
851 6TH ST STE 135, KITSAP HYPNOSIS CENTER LLC, BREMERTON, WA 98337
(360) 471-2302
Mailing address
851 6TH ST STE 135, KITSAP HYPNOSIS CENTER LLC, BREMERTON, WA 98337
(360) 471-2302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CL60530579
WA
101Y00000X
Counselor
MG60982950
WA
101YM0800X
Mental Health Counselor
MG60982950
WA
106H00000X
Marriage & Family Therapist
Primary
MG60982950
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL60530579
WA DEPARTMENT OF HEALTH
WA
01
—
HP60464333
WA DEPARTMENT OF HEALTH
WA
Enumeration date
09/12/2017
Last updated
08/05/2020
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