Provider Demographics
NPI:1609315712
Name:LAMPARZYK, ANNIE (CG 60505963)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:LAMPARZYK
Suffix:
Gender:F
Credentials:CG 60505963
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 N H ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-4011
Mailing Address - Country:US
Mailing Address - Phone:360-591-8324
Mailing Address - Fax:360-637-9457
Practice Address - Street 1:410 N H ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-4011
Practice Address - Country:US
Practice Address - Phone:360-591-8324
Practice Address - Fax:360-637-9457
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor