Countryman, Tammy
Countryman, Tammy is an individual health care provider with primary practice located at 605 S Coolidge St , Moses Lake WA 98837-1873. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Countryman, Tammy can be contacted via phone (509) 764-6111.Contact Information
Primary practice address
605 S Coolidge St
Moses Lake WA 98837-1873
Phone: (509) 764-6111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SC60925928 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 95929 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW61412156 | Washington |
Profile Details
| NPI number | 1073058400 |
|---|---|
| LBN Legal business name | Countryman, Tammy |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2016 |
| Last updated | Jun 1st, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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