Doctor Name: | DARLENE STUBER |
NPI Number: | 1023163029 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LH00009347 |
Business Practice Address: | 320 Pacific Pl Mount Vernon, WA - 982735463 |
Business Phone Number: | 3604167546 |
Business Fax Number: | 3604167541 |
Mailing Address: | 1133 Railroad Ave, BELLINGHAM |
State: | WA |
Postal Code: | 982255055 |
Phone Number: | 3606762178 |
Fax Number: | 3606762144 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00009347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |