Individual
HEATHER ANNE BLACKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
884 W PARK AVE, PORT TOWNSEND, WA 98368-2273
(360) 385-0321
Mailing address
PO BOX 565, PORT TOWNSEND, WA 98368-0565
(360) 385-0321
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC60354376
WA
106H00000X
Marriage & Family Therapist
MG60354376
WA
Other
Enumeration date
05/22/2019
Last updated
10/04/2021
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