Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1043579352 |
---|---|
Provider Name | Dr. Silvia R Behrend |
First Address | Olympia, WA 98502-4668 |
Second Address | Olympia, WA 98502-4668 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2012 |
Last Update Date | 23/02/2016 |