Individual
SHANNON BB TRULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2505 SULWHANON DRIVE, EVERSON, WA 98247
(360) 966-2376
Mailing address
PO BOX 157, DEMING, WA 98244-0157
(360) 966-2376
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1950
MN
Other
Enumeration date
11/21/2012
Last updated
02/26/2013
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