person
Johannah Lacy Maybach
Professional Counselor in Des Moines, Washington
NPI 1902533748

Johannah Lacy Maybach is a Professional Counselor based in Bellingham, WA and is specialized in Professional. Johannah Lacy Maybach practices in Des Moines, WA. The NPI Number for Johannah Lacy Maybach is 1902533748 and holds a License No. MFTA.MG.61342650 (Washington).

The current practice location address for Johannah Lacy Maybach is 22525 Marine View Dr S, Des Moines, WA and can be reached out via phone at 206-762-3214.

Location: 22525 Marine View Dr S, Des Moines, WA, 98229-2133
person
Provider Profile Details
NPI Number
1902533748
Provider Name
Johannah Lacy Maybach
Credential
Provider Entity Type
Individual
Gender
Female
Address
22525 Marine View Dr S, Des Moines, WA, 98229-2133
Phone Number
206-762-3214
Fax Number
Provider Enumeration Date
08/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22525 Marine View Dr S
City
State
Zip
98198-6831
Phone Number
206-762-3214
Fax Number
person
Provider Business Mailing Address Details
Address
22525 Marine View Dr S
City
State
Zip
98198-6831
Phone Number
206-762-3214
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
MFTA.MG.61342650 (Washington)
Definition
Definition to come...
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