Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | RC00056405 | WA |
NPI | 1003018227 |
---|---|
Provider Name | Mrs. Melissa Anne Toner |
First Address | Mountlake Terrace, WA 98043-3331 |
Second Address | Everett, WA 98201-4425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 08/07/2007 |