Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | LH00004364 | WA |
NPI | 1003244898 |
---|---|
Provider Name | Cheryl Carp |
First Address | Seattle, WA 98104-2474 |
Second Address | Seattle, WA 98101-1015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2013 |
Last Update Date | 15/10/2013 |