Provider Demographics
NPI:1326570367
Name:THE VASHON CENTER FOR ECOPSYCHOLOGY
Entity Type:Organization
Organization Name:THE VASHON CENTER FOR ECOPSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNSMORE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:206-408-7424
Mailing Address - Street 1:17405 100TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-4651
Mailing Address - Country:US
Mailing Address - Phone:206-408-7424
Mailing Address - Fax:
Practice Address - Street 1:17405 100TH AVE SW
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-4651
Practice Address - Country:US
Practice Address - Phone:206-408-7424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA604070837251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health