Individual
ANTHONY ED ABASTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHCA
Contact information
Practice address
9633 LEVIN RD NW STE 100, SILVERDALE, WA 98383-8132
(360) 698-5883
Mailing address
9633 LEVIN RD NW STE 100, SILVERDALE, WA 98383-8132
(360) 698-5883
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61081358
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
814742303
—
WA
Enumeration date
10/07/2020
Last updated
10/07/2020
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