Doctor Name: | HEIDI MARIE MONUTEAUX |
NPI Number: | 1033457064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LMHCA |
License Number: | MC60311508 |
Business Practice Address: | 10803 Se Kent Kangley Rd Suite 207 Kent, WA - 980307194 |
Business Phone Number: | 2063043345 |
Business Fax Number: | |
Mailing Address: | Po Box 574, MAPLE VALLEY |
State: | WA |
Postal Code: | 980380574 |
Phone Number: | 2063043345 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2013 |
NPI Last Update Date: | 01/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | MC60311508 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |