Individual
DENISE LYNN BATHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
2801 LOMBARD AVE, EVERETT, WA 98201-3619
(425) 212-3993
(425) 259-3073
Mailing address
2801 LOMBARD AVE, EVERETT, WA 98201-3619
(425) 212-3993
(425) 259-3073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG60153864
WA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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