Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003096827 |
---|---|
Provider Name | Ms. Kimberly Noel Zacher |
First Address | Tacoma, WA 98405-2047 |
Second Address | Tacoma, WA 98405-2047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2007 |
Last Update Date | 08/11/2007 |