MEDICARE: ANN DARIN-AMOS M.A.

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
1	101YM0800X	Mental Health Counselor	LH60168293	WA
2	101YM0800X	Mental Health Counselor	RC00048014	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LH60168293	OTHER	WA	STATE LICENSURE
2	RC00048014	OTHER	WA	REGISTERED COUNSELOR

General Provider Information

NPI Number	:	1851442388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN DARIN-AMOS M.A.

Provider Business Mailing Address
First Line	:	3529 S K ST
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98418-4025
Country	:	US
Telephone Number	:	360-359-6483
Fax Number	:

Provider Business Practice Location Address
First Line	:	5201 OLYMPIC DR STE 210
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1778
Country	:	US
Telephone Number	:	253-752-7320
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	10/05/2023

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Directions to “ ANN DARIN-AMOS M.A.” Practice Location

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