Doctor Name: | JUDY C SUNSHINE |
NPI Number: | 1508928193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RC |
License Number: | RC00038275 |
Business Practice Address: | 6926 Ne Fourth Plain Blvd Vancouver, WA - 98661 |
Business Phone Number: | 3609933000 |
Business Fax Number: | 3609933047 |
Mailing Address: | Po Box 1337, VANCOUVER |
State: | WA |
Postal Code: | 986661337 |
Phone Number: | 3609933000 |
Fax Number: | 3609933047 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | RC00038275 |
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 |