Provider Demographics
NPI:1689765430
Name:TROWBRIDGE, MARILYN (LMHC)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:
Last Name:TROWBRIDGE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12515 MERIDIAN E
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-3436
Mailing Address - Country:US
Mailing Address - Phone:253-848-2805
Mailing Address - Fax:253-435-5980
Practice Address - Street 1:12515 MERIDIAN E
Practice Address - Street 2:SUITE 101
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-3436
Practice Address - Country:US
Practice Address - Phone:253-848-2805
Practice Address - Fax:253-435-5980
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003631101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health