Individual
CHARLOTTE R UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
606 COMMERCIAL AVENUE, SUITE B, ANACORTES, WA 98221
(360) 299-8158
Mailing address
PO BOX 1317, LA CONNER, WA 98257-1317
(360) 299-8158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00004118
WA
Other
Enumeration date
11/14/2006
Last updated
01/12/2012
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