Carraway, Vivian L

Carraway, Vivian L is an sole proprietor health care provider with primary practice located at 1902 120Th Pl Se Ste 104 , Everett WA 98208-6292. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Carraway, Vivian L can be contacted via phone (206) 890-8918.

Contact Information

Primary practice address
1902 120Th Pl Se Ste 104 Everett WA 98208-6292
Phone: (206) 890-8918
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF00001493 Washington

Profile Details

NPI number 1457426330
LBN Legal business name Carraway, Vivian L
Credentials VIVIAN CARRAWAY
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1457426330 NPPES
Washington Other 5302CA RIDER NUMBER, REGENCE

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