Individual provider · Type 1 NPI
Susan L. Vanwormer
Mental Health Counselor · Medical Lake, WA
NPI number
1881912962
Active
Practice location
108 N. Jefferson
Medical Lake, WA 99022
Mailing address
PO Box 1199
Medical Lake, WA 99022-1199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LH60147000 (WA) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Medical Lake
About NPI 1881912962
Susan L. Vanwormer's National Provider Identifier is 1881912962, issued on May 13, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medical Lake, WA. The record was last updated on May 13, 2010.