Provider Demographics
NPI:1639223183
Name:HILL, SANDY L (MA PSYCH COUNSELING)
Entity Type:Individual
Prefix:MS
First Name:SANDY
Middle Name:L
Last Name:HILL
Suffix:
Gender:F
Credentials:MA PSYCH COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 S I ST
Mailing Address - Street 2:#101
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4593
Mailing Address - Country:US
Mailing Address - Phone:253-272-8580
Mailing Address - Fax:253-627-9680
Practice Address - Street 1:901 S I ST
Practice Address - Street 2:#101
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4593
Practice Address - Country:US
Practice Address - Phone:253-272-8580
Practice Address - Fax:253-627-9680
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003791101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health