Boss White
Boss White is a Professional Counselor in Lakewood, Washington. Licensed in Washington. Registered with an NPI since 2023.
- Licensed in
- WA
- In the registry since
- 2023
Practice location Address checks out
9125 Bridgeport Way SW Ste 102Lakewood, WA 98499-2448
Phone: (253) 215-2836
Fax: (253) 366-7422
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence MC61427113 (WA) |
|---|
Record details
| NPI number | 1780384602 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 8, 2023 |
| Last updated in NPPES | October 21, 2024 |
| Certification date | October 21, 2024 |
| Mailing address | 9125 Bridgeport Way Sw Ste 102, Lakewood, WA 98499-2448 |
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