Doctor Name: | MS. ERIN CARRUTH |
NPI Number: | 1063454809 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.M.H.C. |
License Number: | LH00004846 |
Business Practice Address: | 6000 Southcenter Blvd #16 Tukwila, WA - 981887773 |
Business Phone Number: | 2062673090 |
Business Fax Number: | 2062671911 |
Mailing Address: | 6000 Southcenter Blvd, #16 TUKWILA |
State: | WA |
Postal Code: | 981887773 |
Phone Number: | 2062673090 |
Fax Number: | 2062671911 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 01/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00004846 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |