Healthcare Provider Details

I. General information

NPI: 1740628932
Provider Name (Legal Business Name): TABITHA MICHELE-MARIE STOKES LMHC, SUDP, LSWAIC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2013
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 FALK RD
VANCOUVER WA
98661-6392
US

IV. Provider business mailing address

5515 NE 101ST CIR
VANCOUVER WA
98686-6070
US

V. Phone/Fax

Practice location:
  • Phone: 360-931-3239
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCO60247587
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61487883
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC61486241
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: