Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) |
NPI | 1003144742 |
---|---|
Provider Name | Rebecca Furr Webb |
First Address | Everett, WA 98206-5127 |
Second Address | Everett, WA 98201-2094 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2009 |
Last Update Date | 21/11/2014 |