Healthcare Provider Details

I. General information

NPI: 1063495018
Provider Name (Legal Business Name): PATRICIA MICHELLE FRANCE LICSW, CDP, BCD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA MICHELLE FRANCE LICSW, CDP, BCD

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 03/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VA PUGET SOUND HEALTH CARE SYSTEM 9600 VETERANS DRIVE
TACOMA WA
98493-9500
US

IV. Provider business mailing address

69 BONNEY ST
STEILACOOM WA
98388-1501
US

V. Phone/Fax

Practice location:
  • Phone: 253-583-3568
  • Fax:
Mailing address:
  • Phone: 253-495-0843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCP 602296160
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW 60276126
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: