Provider Demographics
NPI:1619149770
Name:GARCIA, ANNA (LHMC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LHMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 COLLEGE ST SE APT H3
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-3589
Mailing Address - Country:US
Mailing Address - Phone:360-259-6023
Mailing Address - Fax:
Practice Address - Street 1:3301 COLLEGE ST SE APT H3
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-3589
Practice Address - Country:US
Practice Address - Phone:360-259-6023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010619101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health