Individual
ANGELA FOSMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
31919 1ST AVE S STE 203, FEDERAL WAY, WA 98003-5229
(253) 221-7123
Mailing address
31919 1ST AVE S STE 203, FEDERAL WAY, WA 98003-5229
(253) 221-7123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH 60273618
WA
Other
Enumeration date
01/05/2011
Last updated
06/27/2012
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