Doctor Name: | MRS. TORY L BOOTH |
NPI Number: | 1700181831 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LMFT, ATR |
License Number: | LF60327725 |
Business Practice Address: | 2828 Mission Hill Rd Tulalip Tribes- Behavioral Health Tulalip, WA - 982719706 |
Business Phone Number: | 3607163284 |
Business Fax Number: | 3607160705 |
Mailing Address: | 2828 Mission Hill Rd, Tulalip Tribes- Behavioral Health TULALIP |
State: | WA |
Postal Code: | 982719706 |
Phone Number: | 3607163284 |
Fax Number: | 3607160750 |
NPI Enumeration Date: | 01/20/2011 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LF60327725 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |