Individual provider · Type 1 NPI

Adriana L. Phothisane

Mental Health Counselor · Lakewood, WA

NPI number 1336817568 Active

Practice location

9330 59th Ave SW
Lakewood, WA 98499-2858

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Cognitive & Behavioral Psychologist 103TB0200XNone listed
Mental Health Counselor Primary 101YM0800X101YM0800X

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About NPI 1336817568

Adriana L. Phothisane's National Provider Identifier is 1336817568, issued on Sep 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, WA. The record was last updated on Sep 2, 2021.