Individual
CARMA J ROETCISOENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
1316 KING ST STE 4, BELLINGHAM, WA 98229-6263
(360) 389-2455
Mailing address
426 4TH ST, BLAINE, WA 98230-5117
(360) 303-4966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60920289
WA
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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