Provasoli, Judith Freed

Provasoli, Judith Freed is an sole proprietor health care provider with primary practice located at 1018 7Th Ave Se , Olympia WA 98501-1512. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Provasoli, Judith Freed can be contacted via phone (360) 413-1709.

Contact Information

Primary practice address
1018 7Th Ave Se Olympia WA 98501-1512
Phone: (360) 413-1709
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00003779 Washington

Profile Details

NPI number 1114072352
LBN Legal business name Provasoli, Judith Freed
Credentials L.M.H.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 19 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.

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