Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003066481 |
---|---|
Provider Name | Anitra Washington |
First Address | Mckeesport, PA 15132-2918 |
Second Address | Mckeesport, PA 15132-2918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2008 |
Last Update Date | 23/09/2008 |