Roos, Michael Dwayne

Roos, Michael Dwayne is an sole proprietor health care provider with primary practice located at 719 Sleater Kinney Rd Se Ste 212 , Lacey WA 98503-1138. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Roos, Michael Dwayne can be contacted via phone (360) 519-4256.

Contact Information

Primary practice address

719 Sleater Kinney Rd Se Ste 212 Lacey WA 98503-1138

Phone: (360) 519-4256

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Marriage & Family Therapist	106H00000X	LF 60497884	Washington

Profile Details

NPI number	1215266309
LBN Legal business name	Roos, Michael Dwayne
Credentials	MA, LMFT
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Dec 18th, 2009
Last updated	Nov 22nd, 2017 - about 8 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

State	Type	Number	Issuer
All States	NPI	1215266309	NPPES
Washington	MEDICAID	2069009

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