Individual
MS. DEBBIE TANTRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
1720 GROVE ST, MARYSVILLE, WA 98270-4328
(425) 280-3851
Mailing address
1720 GROVE ST, MARYSVILLE, WA 98270-4328
(425) 280-3851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
60174734
WA
101YM0800X
Mental Health Counselor
Primary
60427186
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60174734
LICENSED MENTAL HEALTH COUNSELOR ASSOCIATE
WA
01
—
60427186
WASHINGTON STATE DEPARTMENT OF HEALTH LMHC
WA
Enumeration date
10/14/2010
Last updated
05/18/2023
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