Organization
CASCADIA YOUTH MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA DEE MSW, LICSW (OWNER)
(360) 685-4287
Entity
Organization
Contact information
Practice address
1313 E MAPLE ST STE 229, BELLINGHAM, WA 98225
(360) 685-4287
Mailing address
1313 E MAPLE ST STE 229, BELLINGHAM, WA 98225-5750
(360) 488-6885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013414036
NPPES
WA
Enumeration date
06/07/2019
Last updated
01/22/2020
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