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Stacey R Whitmore, BS
Professional Counselor in Redmond, Washington
NPI 1093010845

Stacey R Whitmore is a Professional Counselor based in Seattle, WA and is specialized in Professional. Stacey R Whitmore practices in Redmond, WA and has the professional credentials of BS. The NPI Number for Stacey R Whitmore is 1093010845 and holds a License No. CG60199775 (Washington).

The current practice location address for Stacey R Whitmore is 11629 Avondale Rd Ne, Redmond, WA and can be reached out via phone at 425-653-5080 and via fax at 425-653-5081.

Location: 11629 Avondale Rd Ne, Redmond, WA, 98122-2735
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093010845
Provider Name
Stacey R Whitmore
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
11629 Avondale Rd Ne, Redmond, WA, 98122-2735
Phone Number
425-653-5080
Fax Number
425-653-5081
Provider Enumeration Date
01/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11629 Avondale Rd Ne
City
Redmond
State
Washington
Zip
98052-2201
Phone Number
425-653-5080
Fax Number
425-653-5081
person
Provider Business Mailing Address Details
Address
11629 Avondale Rd Ne
City
Redmond
State
Washington
Zip
98052-2201
Phone Number
425-653-5080
Fax Number
425-653-5081
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG60199775 (Washington)
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's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
CG60199775 (Washington)
Definition
Definition to come...
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