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Heather Blackmore Ma Lmfta
Adolescent and Children Mental Health Clinic/Center in Poulsbo, Washington
NPI 1306253067

Heather Blackmore Ma Lmfta is an Adolescent and Children Mental Health Clinic/Center based in Poulsbo, WA and is specialized in Adolescent and Children Mental Health. Heather Blackmore Ma Lmfta practices in Poulsbo, WA. The NPI Number for Heather Blackmore Ma Lmfta is 1306253067 and holds a License No. MG60354376 (Washington).

The current practice location address for Heather Blackmore Ma Lmfta is 374 Ne Max William Loop, Poulsbo, WA and can be reached out via phone at 360-649-1238.

Location: 374 Ne Max William Loop, Poulsbo, WA, 98370-9169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306253067
Provider Name
Heather Blackmore Ma Lmfta
Credential
Provider Entity Type
Organization
Address
374 Ne Max William Loop, Poulsbo, WA, 98370-9169
Phone Number
360-649-1238
Fax Number
Provider Enumeration Date
07/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
374 Ne Max William Loop
City
Poulsbo
State
Washington
Zip
98370
Phone Number
360-649-1238
Fax Number
person
Provider Business Mailing Address Details
Address
374 Ne Max William Loop
City
Poulsbo
State
Washington
Zip
98370
Phone Number
360-649-1238
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
MG60354376 (Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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