| Paul Kenneth Henry Med Lmhc Ps | |
|
9101 Bridgeport Way Sw Ste D2 Lakewood WA 98499-2419 | |
| (253) 394-6045 | |
| Not Available |
| Full Name | Paul Kenneth Henry Med Lmhc Ps |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9101 Bridgeport Way Sw Ste D2, Lakewood, Washington |
| Authorized Official Name and Position | Paul Henry (COUNSELOR) |
| Authorized Official Contact | 2533946045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Kenneth Henry Med Lmhc Ps 9101 Bridgeport Way Sw Ste D2 Lakewood WA 98499-2419 Ph: (253) 394-6045 | Paul Kenneth Henry Med Lmhc Ps 9101 Bridgeport Way Sw Ste D2 Lakewood WA 98499-2419 Ph: (253) 394-6045 |
| NPI Number | 1073935193 |
|---|---|
| Provider Enumeration Date | 01/08/2014 |
| Last Update Date | 01/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073935193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 60300442 (Washington) | Primary |
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