Provider Demographics
NPI:1083948202
Name:SIGAFOOS, NANCY ANNE (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:ANNE
Last Name:SIGAFOOS
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 1/2 CAPITOL WAY N
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-1019
Mailing Address - Country:US
Mailing Address - Phone:360-943-5430
Mailing Address - Fax:360-943-3508
Practice Address - Street 1:114 1/2 CAPITOL WAY N
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1019
Practice Address - Country:US
Practice Address - Phone:360-943-5430
Practice Address - Fax:360-943-3508
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 00006111101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health