Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | CG61142352 | WA |
N | 101YP1600X | Pastoral Counselor | ||
N | 104100000X | Social Worker |
NPI | 1124785811 |
---|---|
Provider Name | Alicia Eskew |
First Address | Tacoma, WA 98422-2085 |
Second Address | Tacoma, WA 98409-4475 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2021 |
Last Update Date | 17/11/2021 |