Individual provider · Type 1 NPI

Pepe Olive Stanback

Counselor · Puyallup, WA

NPI number 1306439146 Active

Practice location

325 E Pioneer
Puyallup, WA 98372-3265

Call (253) 697-8400 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG61144307 (WA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1306439146

Pepe Olive Stanback's National Provider Identifier is 1306439146, issued on Feb 12, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Puyallup, WA. The record was last updated on Feb 12, 2021.