Individual provider · Type 1 NPI

Boss White

Professional Counselor · Lakewood, WA

NPI number 1780384602 Active

Practice location

9125 Bridgeport Way SW Ste 102
Lakewood, WA 98499-2448

Fax (253) 366-7422

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XMC61427113 (WA)

Professional Counselor: Definition to come...

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About NPI 1780384602

Boss White's National Provider Identifier is 1780384602, issued on Mar 8, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lakewood, WA. The record was last updated on Oct 21, 2024.