Individual
TIARRA DANIELLE BLANCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 WALL ST STE 2D, EVERETT, WA 98201-3942
(425) 340-3500
(425) 642-0022
Mailing address
1316 WALL ST STE 2D, EVERETT, WA 98201-3942
(425) 340-3500
(425) 642-0022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
Primary
SC61213247
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2183135
—
WA
Enumeration date
08/10/2021
Last updated
04/23/2026
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