Doctor Name: | MR. CHAD PERMAN |
NPI Number: | 1346437225 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 7972 Maple Ave Se Snoqualmie, WA - 98065 |
Business Phone Number: | 4258884151 |
Business Fax Number: | |
Mailing Address: | Po Box 12, ISSAQUAH |
State: | WA |
Postal Code: | 980270001 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 09/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |