Whitmore, Stacey R
Whitmore, Stacey R is an individual health care provider with primary practice located at 11629 Avondale Rd Ne Avondale House, Redmond WA 98052-2201. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Whitmore, Stacey R can be contacted via phone (425) 653-5080.Contact Information
Primary practice address
11629 Avondale Rd Ne Avondale House
Redmond WA 98052-2201
Phone: (425) 653-5080
Fax: (425) 653-5081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | CG60199775 | Washington |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CG60199775 | Washington |
Profile Details
| NPI number | 1093010845 |
|---|---|
| LBN Legal business name | Whitmore, Stacey R |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2011 |
| Last updated | Jan 25th, 2011 - about 13 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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