Individual
AI ENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
223 N YAKIMA AVE, TACOMA, WA 98403-2230
(360) 200-8803
Mailing address
223 N YAKIMA AVE, TACOMA, WA 98403-2230
(360) 200-8803
(253) 444-0547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60710417
WA
Other
Enumeration date
01/14/2008
Last updated
05/23/2023
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