Search › Washington › 103TC2200X
Stacey Park, PHD
NPI 1659801173 · on the registry since 2017
Practice
- Address
- 6314 19th St W Ste 14
Fircrest, WA 98466 - Phone
- (253) 239-2310
- Fax
- (253) 239-2311
- Organisation at this address
- Michelle Jaquish
Pm Health Group Pllc
Dt Smith Healthgroup Pllc
Cognitive Growth Mental Health
Kaitlyn Lindsay Counseling, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 103TC2200X
103TC2200X
- Also registered as
- 103TC1900X
- Licence states on file
- WA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington