Doctor Name: | BETTY ANN DANIELSON ADDINGTON |
NPI Number: | 1083899470 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | LH00009740 |
Business Practice Address: | 1610 Bishop Rd Sw Suite 105 Tumwater, WA - 985127303 |
Business Phone Number: | 3603521052 |
Business Fax Number: | 3603520956 |
Mailing Address: | Po Box 4141, TUMWATER |
State: | WA |
Postal Code: | 985010141 |
Phone Number: | 3603521052 |
Fax Number: | 3603520956 |
NPI Enumeration Date: | 01/03/2008 |
NPI Last Update Date: | 01/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00009740 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |