Individual
ANGELA MARIE PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CD, LMHCA
Contact information
Practice address
1429 N 45TH ST, SEATTLE, WA 98103-6706
(206) 245-9543
Mailing address
1429 N 45TH ST, SEATTLE, WA 98103-6706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MC60243915
WA
133N00000X
Nutritionist
Primary
NU60275126
WA
Other
Enumeration date
02/09/2012
Last updated
05/21/2014
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