Mount, Marla
Mount, Marla is an individual health care provider with primary practice located at 60 Nw Boisfort St. , Chehalis WA 98532. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Mount, Marla can be contacted via phone (360) 970-8778.Contact Information
Primary practice address
60 Nw Boisfort St.
Chehalis WA 98532
Phone: (360) 970-8778
Fax: (866) 270-5866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LH60611725 | Washington |
Profile Details
| NPI number | 1790140812 |
|---|---|
| LBN Legal business name | Mount, Marla |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2015 |
| Last updated | Oct 7th, 2016 - about 10 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790140812 | NPPES |
| Washington | MEDICAID | 2050195 | |
| Washington | Other | 1790140812 |
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