Doctor Name: | ABBY M SUCH |
NPI Number: | 1043534548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA |
License Number: | CG60121779 |
Business Practice Address: | 701 N Miller St Wenatchee, WA - 988012086 |
Business Phone Number: | 5096627195 |
Business Fax Number: | 5096624296 |
Mailing Address: | 600 Orondo Ave, Ste 1 WENATCHEE |
State: | WA |
Postal Code: | 988012800 |
Phone Number: | 5096626000 |
Fax Number: | 5096644590 |
NPI Enumeration Date: | 03/26/2010 |
NPI Last Update Date: | 03/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CG60121779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |