Doctor Name: | ANITA FAYE SNODGRASS GUSHURST |
NPI Number: | 1174815401 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LMHC, CDPT |
License Number: | LH60382513 |
Business Practice Address: | 21907 64th Ave W Suite 240 Mountlake Terrace, WA - 980432200 |
Business Phone Number: | 2064447900 |
Business Fax Number: | 2064447910 |
Mailing Address: | 14803 15th Ave Ne, Center For Human Services SHORELINE |
State: | WA |
Postal Code: | 981557110 |
Phone Number: | 2064999794 |
Fax Number: | 2067883902 |
NPI Enumeration Date: | 05/04/2011 |
NPI Last Update Date: | 04/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LH60382513 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |