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Individual

AMY MICHELLE PLUMB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LMHC, SUDP, CPC

Contact information

Practice address
1002 N MERIDIAN STE 100-174, PUYALLUP, WA 98371-4409
(206) 429-1763
(206) 299-0357
Mailing address
1002 N MERIDIAN STE 100-174, PUYALLUP, WA 98371-4409
(206) 429-1763
(206) 299-0357

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60463078
WA
101YM0800X
Mental Health Counselor
Primary
LH60403531
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2049950
WA
Enumeration date
01/03/2012
Last updated
07/07/2023
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