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Ebony L Middleton
Mental Health Counselor in Tumwater, Washington
NPI 1770264723

Ebony L Middleton is a Mental Health Counselor based in Tumwater, WA and is specialized in Mental Health. Ebony L Middleton practices in Tumwater, WA. The NPI Number for Ebony L Middleton is 1770264723 and holds a License No. (Washington).

The current practice location address for Ebony L Middleton is 3285 Ferguson St Sw, Tumwater, WA and can be reached out via phone at 360-943-1907.

Location: 3285 Ferguson St Sw, Tumwater, WA, 98512-6143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770264723
Provider Name
Ebony L Middleton
Credential
Provider Entity Type
Individual
Gender
Female
Address
3285 Ferguson St Sw, Tumwater, WA, 98512-6143
Phone Number
360-943-1907
Fax Number
Provider Enumeration Date
07/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3285 Ferguson St Sw
City
Tumwater
State
Washington
Zip
98512-6143
Phone Number
360-943-1907
Fax Number
person
Provider Business Mailing Address Details
Address
3285 Ferguson St Sw
City
Tumwater
State
Washington
Zip
98512-6143
Phone Number
360-943-1907
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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