Individual
DEANA M ENEBO-SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5610 KITSAP WAY, SUITE 250, BREMERTON, WA 98312-2292
(360) 990-5305
Mailing address
PO BOX 657, SILVERDALE, WA 98383-0657
(360) 990-5305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00010999
WA
Other
Enumeration date
09/13/2007
Last updated
07/14/2017
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