Provider Demographics
NPI:1154489961
Name:WARME, PAULA CLARK (LMFT)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:CLARK
Last Name:WARME
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5051 COLUMBIA HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-9537
Mailing Address - Country:US
Mailing Address - Phone:360-425-7727
Mailing Address - Fax:
Practice Address - Street 1:1339 COMMERCE AVE
Practice Address - Street 2:SUITE 310 D
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-3738
Practice Address - Country:US
Practice Address - Phone:360-423-3897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001229106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist