Doctor Name: | MS. CHRISTINE SECOR |
NPI Number: | 1205094091 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | RC00008881 |
Business Practice Address: | 16000 Bothell Everett Hwy 240 Mill Creek, WA - 980121742 |
Business Phone Number: | 4252188871 |
Business Fax Number: | |
Mailing Address: | 601 Park Ave, MUKILTEO |
State: | WA |
Postal Code: | 982751919 |
Phone Number: | 4252188871 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2008 |
NPI Last Update Date: | 05/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | RC00008881 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |