Abastilla, Anthony Ed

Abastilla, Anthony Ed is an sole proprietor health care provider with primary practice located at 9633 Levin Rd Nw Ste 100 , Silverdale WA 98383-8132. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Abastilla, Anthony Ed can be contacted via phone (360) 698-5883.

Contact Information

Primary practice address
9633 Levin Rd Nw Ste 100 Silverdale WA 98383-8132
Phone: (360) 698-5883
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC61081358 Washington

Profile Details

NPI number 1477150829
LBN Legal business name Abastilla, Anthony Ed
Credentials LMHCA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2020
Last updated Oct 7th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477150829 NPPES
Washington MEDICAID 814742303

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