Tony McCormick

Individual provider Active NPI Mental Health Counselor · Seabeck, WA

NPI 1932381985 · NPPES record last updated Dec 2, 2007

Key facts

NPI
1932381985
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
LH00005402 (WA)
Practice address
6169 Beal PL NW
Seabeck, WA 98380-8729
Phone
(206) 799-2488
NPI assigned
Dec 2, 2007
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

State licenses

LicenseStateTypeSpecialty
LH00005402WAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00005402 WA Yes

Addresses

Primary practice location

6169 Beal PL NW
Seabeck, WA 98380-8729

Mailing address

6169 Beal PL NW
Seabeck, WA 98380-8729
Phone (206) 799-2488

Other names

  • Ms. Antoinette Marie McCormick Former name

Other providers in Seabeck, WA

All providers in Seabeck, WA · Mental Health Counselor in Washington

Sources for this page

Verify at the official NPI Registry.