Individual
DR. LAVERNA HOLWILL SPAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8404 83RD AVE SW STE F, LAKEWOOD, WA 98498
(253) 345-4581
(253) 302-5989
Mailing address
8404 83RD AVE SW STE F, LAKEWOOD, WA 98498-6078
(253) 345-4281
(253) 302-5989
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CL60397933
WA
101YP1600X
Pastoral Counselor
Primary
0064
WA
101YP1600X
Pastoral Counselor
17377
FL
103T00000X
Psychologist
CL60397933
WA
106H00000X
Marriage & Family Therapist
17377
FL
Other
Enumeration date
09/17/2013
Last updated
11/23/2018
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