Doctor Name: | MR. JAMES L STAPP |
NPI Number: | 1235309329 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | LH00011276 |
Business Practice Address: | 1818 Cole St Enumclaw, WA - 980223504 |
Business Phone Number: | 3608025405 |
Business Fax Number: | 3608861393 |
Mailing Address: | 1818 Cole St, ENUMCLAW |
State: | WA |
Postal Code: | 980223504 |
Phone Number: | 3608025405 |
Fax Number: | 3608861393 |
NPI Enumeration Date: | 03/05/2008 |
NPI Last Update Date: | 03/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00011276 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |