Individual provider · Type 1 NPI
Phylliss Marie Eberhardy, MS LMFT CCDCI
Addiction (Substance Use Disorder) Counselor · Kent, WA
NPI number
1265515951
Active
Practice location
11126 SE 256th Street, Suite O 204
Kent, WA 98030-5636
Fax (253) 852-7751
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CB00006138 (WA) |
| Marriage & Family Therapist | 106H00000X | LF00001439 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1265515951
Phylliss Marie Eberhardy, MS LMFT CCDCI's National Provider Identifier is 1265515951, issued on Oct 24, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kent, WA. The record was last updated on Sep 11, 2025.