Individual
MS. DIANE M. TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.M.H.C.
Contact information
Practice address
5701 NE BOTHELL WAY STE 2A, KENMORE, WA 98028-9400
(206) 755-1954
Mailing address
2830 NW 72ND ST, SEATTLE, WA 98117-6251
(206) 755-1954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00010946
WA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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