Individual
MS. AMY ELIZABETH PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1002 39TH AVE SW STE 208, PUYALLUP, WA 98373-3805
(253) 317-1737
(253) 697-3730
Mailing address
1002 39TH AVE SW STE 208, PUYALLUP, WA 98373-3805
(253) 317-1737
(253) 697-3730
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60950866
WA
101YM0800X
Mental Health Counselor
—
OR
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500663797
—
OR
Enumeration date
05/23/2007
Last updated
02/16/2024
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