Doctor Name: | CHARIS ESTELLE ALDERFER-MUMMA |
NPI Number: | 1215041017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATR-BC, LPC, LMHC |
License Number: | PC004669 |
Business Practice Address: | 340 Ne Maple Pullman, WA - 99163 |
Business Phone Number: | 5093341133 |
Business Fax Number: | 5093321608 |
Mailing Address: | 340 Ne Maple, PULLMAN |
State: | WA |
Postal Code: | 99163 |
Phone Number: | 5093341133 |
Fax Number: | 5093321608 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 07/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC004669 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |