Provider Demographics
NPI:1518056720
Name:PAUL, NANCY (LMFT, LMHC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:PAUL
Suffix:
Gender:F
Credentials:LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16110 121ST AVE SW
Mailing Address - Street 2:POB 433
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-4027
Mailing Address - Country:US
Mailing Address - Phone:253-874-6528
Mailing Address - Fax:
Practice Address - Street 1:1220 S 356TH ST STE C13
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-7479
Practice Address - Country:US
Practice Address - Phone:253-874-6528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH4088101YM0800X
WALF1005106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist