Doctor Name: | PALA HOPE SIMEONA |
NPI Number: | 1376674366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LICSW |
License Number: | 020704 LW00004611 |
Business Practice Address: | 4480 Tolt Ave Carnation, WA - 98014 |
Business Phone Number: | 4253335425 |
Business Fax Number: | 4253335428 |
Mailing Address: | 4480 Tolt Ave, CARNATION |
State: | WA |
Postal Code: | 98014 |
Phone Number: | 4253335425 |
Fax Number: | 4253335428 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 020704 LW00004611 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |