Provider Demographics
NPI:1235137043
Name:HARMON, MARSHALL BRUCE (LMHC)
Entity Type:Individual
Prefix:MR
First Name:MARSHALL
Middle Name:BRUCE
Last Name:HARMON
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 BENSON RD S
Mailing Address - Street 2:SUITE 202
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-4455
Mailing Address - Country:US
Mailing Address - Phone:425-277-5616
Mailing Address - Fax:206-782-8312
Practice Address - Street 1:1500 BENSON RD S
Practice Address - Street 2:SUITE 202
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-4455
Practice Address - Country:US
Practice Address - Phone:425-277-5616
Practice Address - Fax:206-782-8312
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH0004632101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health