Wendy Lee Tate, M.S., LMHC

Individual provider Active NPI Mental Health Counselor · Lake Tapps, WA

NPI 1235599549 · NPPES record last updated Jun 6, 2019

Key facts

NPI
1235599549
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
LH60884936 (WA)
Practice address
314 182ND Ave E Unit C
Lake Tapps, WA 98391-5704
Phone
(253) 455-1676
Fax
(253) 470-3990
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH60884936WAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60884936 WA Yes

Addresses

Primary practice location

314 182ND Ave E Unit C
Lake Tapps, WA 98391-5704

Mailing address

314 182ND Ave E Unit C
Lake Tapps, WA 98391-5704
Phone (253) 455-1676

Other providers in Lake Tapps, WA

All providers in Lake Tapps, WA · Mental Health Counselor in Washington

Sources for this page

Verify at the official NPI Registry.