Provider Demographics
NPI:1336309269
Name:CARNES, GENEVIEVE LOUISE (MSW, LCISWA)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:LOUISE
Last Name:CARNES
Suffix:
Gender:F
Credentials:MSW, LCISWA
Other - Prefix:
Other - First Name:GENNA
Other - Middle Name:LOUISE
Other - Last Name:CARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:711 STATE AV NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506
Mailing Address - Country:US
Mailing Address - Phone:360-943-0780
Mailing Address - Fax:360-943-0785
Practice Address - Street 1:711 STATE AV NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506
Practice Address - Country:US
Practice Address - Phone:360-943-0780
Practice Address - Fax:360-943-0785
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health