Doctor Name: | DEBORAH MARIE DARNELL |
NPI Number: | 1154561934 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | LH00009533 |
Business Practice Address: | 1610 Bishop Rd Sw Suite 105 Tumwater, WA - 985127303 |
Business Phone Number: | 3608804032 |
Business Fax Number: | 3608789506 |
Mailing Address: | 1610 Bishop Rd Sw, Suite 105 TUMWATER |
State: | WA |
Postal Code: | 985127303 |
Phone Number: | 3608804032 |
Fax Number: | 3608789506 |
NPI Enumeration Date: | 03/06/2009 |
NPI Last Update Date: | 03/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00009533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |