Doctor Name: | MR. THOM BIANCO |
NPI Number: | 1457732448 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | MC60425373 |
Business Practice Address: | 15600 Redmond Way Ste 101 Redmond, WA - 980523862 |
Business Phone Number: | 2067550196 |
Business Fax Number: | |
Mailing Address: | 9106 170th Ave Ne, REDMOND |
State: | WA |
Postal Code: | 980523791 |
Phone Number: | 2067550196 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2015 |
NPI Last Update Date: | 06/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MC60425373 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |