Healthcare Provider Details

I. General information

NPI: 1740750124
Provider Name (Legal Business Name): JAMES HAYDEN PRESSON M.ED.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 11/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 S FIFE ST STE 301
TACOMA WA
98409-7309
US

IV. Provider business mailing address

3016 89TH AVENUE CT NW
GIG HARBOR WA
98335-6076
US

V. Phone/Fax

Practice location:
  • Phone: 253-589-5334
  • Fax: 253-584-1508
Mailing address:
  • Phone: 253-589-5334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberNONE
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: