Provider Demographics
NPI:1710952551
Name:PARRENO, EVELINDA E (MA)
Entity Type:Individual
Prefix:MRS
First Name:EVELINDA
Middle Name:E
Last Name:PARRENO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7002 CATE FARM DR SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98513-6538
Mailing Address - Country:US
Mailing Address - Phone:253-968-4150
Mailing Address - Fax:253-968-4249
Practice Address - Street 1:MADIGAN ARMY MEDICAL CENTER
Practice Address - Street 2:LINCOLN ST. BLDG. 9005
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-4150
Practice Address - Fax:253-968-4249
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006078101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health