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NPI Code Detail

MEDICARE: MICHELLE MARIE TRIBE LMHC

MEDICARE: MICHELLE MARIE TRIBE LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLH61500823WA

General Provider Information

NPI Number : 1790982189
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE MARIE TRIBE LMHC
Provider Business Mailing Address
First Line : 101 E 8TH ST STE 110
Second Line :
City : VANCOUVER
State : WA
Zip : 98660-3294
Country : US
Telephone Number : 360-601-3108
Fax Number :
Provider Business Practice Location Address
First Line : 101 E 8TH ST STE 110
Second Line :
City : VANCOUVER
State : WA
Zip : 98660-3294
Country : US
Telephone Number : 360-601-3108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2007
Last Update Date : 03/20/2024

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Directions to “ MICHELLE MARIE TRIBE LMHC” Practice Location

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