Teresa Rose Banghart
Counselor in Everett, WA. Individual provider (NPI-1).
NPI number1487828687
StatusActive
Last updated in NPPESApr 17, 2008
Details
- NPI
- 1487828687
- Entity type
- Individual (NPI-1)
- Name
- Teresa Rose Banghart
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2008
- Last updated
- Apr 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | RC00029979 | WA | Yes |
Practice location
811 Madison StEverett, WA 98203-4543
Phone 425-347-3149
Mailing address
12051 28th Ave Ne Apt 401Seattle, WA 98125-5350
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