Provider Demographics
NPI:1437471646
Name:MYERS, NANNETTE MARIE (LMHC, LMFTA, CDP, MS)
Entity Type:Individual
Prefix:
First Name:NANNETTE
Middle Name:MARIE
Last Name:MYERS
Suffix:
Gender:F
Credentials:LMHC, LMFTA, CDP, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9013 NE HIGHWAY 99
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-8942
Mailing Address - Country:US
Mailing Address - Phone:360-241-4538
Mailing Address - Fax:
Practice Address - Street 1:9013 NE HIGHWAY 99
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-8942
Practice Address - Country:US
Practice Address - Phone:360-314-4759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP 0005699101YA0400X
WAMG60159959106H00000X
WALH60361500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist