Marjorie R Basballe, LMHCA
Individual provider Active NPI Mental Health Counselor · Graham, WA
NPI 1316701196 · NPPES record last updated Feb 12, 2024
Key facts
- NPI
- 1316701196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 15623 296TH St E
Graham, WA 98338-9027 - Phone
- (253) 318-5179
- NPI assigned
- Feb 12, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | WA | Yes |
Addresses
Primary practice location
15623 296TH St E
Graham, WA 98338-9027
Mailing address
15623 296TH St E
Graham, WA 98338-9027
Phone (253) 318-5179
Other providers in Graham, WA
- Betty Abygail Avins
- Kaitlyn Backer
- Sara Camille Banegas
- Ashley Rae Barnett
- Rebecca June Barnett
- NA'Keisha Belk
- Leon Bell
- Tennille Bernard
- Katherine J Bieker
- Desirae Blasko
All providers in Graham, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.