Individual
STEPHANIE MARIE GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
15418 MAIN ST, MILL CREEK, WA 98012-9030
(425) 339-5453
(425) 225-8028
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60090936
WA
103TC0700X
Clinical Psychologist
Primary
PY60188217
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013263
—
WA
01
—
LH60090936
STATE LICENSE
WA
01
—
PY60188217
LICENSE
WA
Enumeration date
07/01/2009
Last updated
03/29/2016
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