Individual
DR. YASHIA CORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPC
Contact information
Practice address
3955 156TH ST NE, MARYSVILLE, WA 98271-4831
(360) 651-5975
(360) 651-5978
Mailing address
5930 77TH DR NE, MARYSVILLE, WA 98270-7400
(360) 481-6537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7390
LA
101YP2500X
Professional Counselor
Primary
7390
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649608019
—
LA
Enumeration date
11/15/2017
Last updated
06/13/2023
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