Individual
HIMANSHU PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 STRANDER BLVD, TUKWILA, WA 98188-2940
(253) 850-2500
Mailing address
631 STRANDER BLVD, TUKWILA, WA 98188-2940
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60977009
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
09/21/2020
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