Provider Demographics
NPI:1568508265
Name:TSUFFIS, GRACE (BA SOCIOLOGY)
Entity Type:Individual
Prefix:MS
First Name:GRACE
Middle Name:
Last Name:TSUFFIS
Suffix:
Gender:F
Credentials:BA SOCIOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O.BOX2569
Mailing Address - Street 2:SUNRISE SERVICES, INC
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98213
Mailing Address - Country:US
Mailing Address - Phone:425-212-4200
Mailing Address - Fax:425-212-4241
Practice Address - Street 1:811 MADISON STREET
Practice Address - Street 2:SUNRISE SERVICES,INC.
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203
Practice Address - Country:US
Practice Address - Phone:425-212-4200
Practice Address - Fax:425-212-4241
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator