| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 615 N 2nd St, Tacoma, Washington |
| Authorized Official Name and Position | Vanessa Honn (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2532374248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2661 N Pearl St Ste 365 Tacoma WA 98407-2424 Ph: (253) 237-4248 | 615 N 2nd St Tacoma WA 98403-2232 Ph: (253) 237-4248 |
| NPI Number | 1568060085 |
|---|---|
| Provider Enumeration Date | 10/16/2020 |
| Last Update Date | 09/04/2022 |
| Certification Date | 09/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568060085 | NPI | - | NPPES |
| PY2973 | Other | WA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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