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Ms. Susan L Vanwormer
Mental Health Counselor in Medical Lake, Washington
NPI 1881912962

Susan L Vanwormer is a Mental Health Counselor based in Medical Lake, WA and is specialized in Mental Health. Susan L Vanwormer practices in Medical Lake, WA. The NPI Number for Susan L Vanwormer is 1881912962 and holds a License No. LH60147000 (Washington).

The current practice location address for Susan L Vanwormer is 108 N. Jefferson, Medical Lake, WA and can be reached out via phone at 509-710-9457.

Location: 108 N. Jefferson, Medical Lake, WA, 99022-1199
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881912962
Provider Name
Susan L Vanwormer
Credential
Provider Entity Type
Individual
Gender
Female
Address
108 N. Jefferson, Medical Lake, WA, 99022-1199
Phone Number
509-710-9457
Fax Number
Provider Enumeration Date
05/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
108 N. Jefferson
City
Medical Lake
State
Washington
Zip
99022
Phone Number
509-710-9457
Fax Number
person
Provider Business Mailing Address Details
Address
108 N. Jefferson
City
Medical Lake
State
Washington
Zip
99022
Phone Number
509-710-9457
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LH60147000 (Washington)
Definition
Definition to come...
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