Retallick, R Garth

Retallick, R Garth is an sole proprietor health care provider with primary practice located at 707 Sidney Pkwy Unit 14 , Port Orchard WA 98366-5318. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Retallick, R Garth can be contacted via phone (360) 471-4398.

Contact Information

Primary practice address
707 Sidney Pkwy Unit 14 Port Orchard WA 98366-5318
Phone: (360) 471-4398
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH 60344426 Washington

Profile Details

NPI number 1417229626
LBN Legal business name Retallick, R Garth
Credentials MS, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2012
Last updated Oct 17th, 2013 - about 11 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.

Request for update

Popular Providers