Individual provider · Type 1 NPI

Gerald W. Upshaw

Mental Health Counselor · Tacoma, WA

NPI number 1568640639 Active

Practice location

3580 Pacific Ave
Tacoma, WA 98418-7915

Call (253) 798-4500 Map

Fax (253) 798-4493

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XRC00014788 (WA)
Nurse's Aide 376K00000XNA00094615 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1568640639

Gerald W. Upshaw's National Provider Identifier is 1568640639, issued on Jan 31, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tacoma, WA. The record was last updated on Jan 31, 2008.