Provider Demographics
NPI:1538328042
Name:PASCOE, CARLA S (MA, LMHCA)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:S
Last Name:PASCOE
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:CARLA
Other - Middle Name:S
Other - Last Name:PEREIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHCA
Mailing Address - Street 1:33305 1ST WAY S
Mailing Address - Street 2:SUITE#B-203
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-6235
Mailing Address - Country:US
Mailing Address - Phone:253-235-5956
Mailing Address - Fax:253-235-5957
Practice Address - Street 1:33305 1ST WAY S
Practice Address - Street 2:SUITE#B-203
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6235
Practice Address - Country:US
Practice Address - Phone:253-235-5956
Practice Address - Fax:253-235-5957
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAM.C.#60159583390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program