Provider Demographics
NPI:1841585064
Name:PLUMMER, CAROLINE JANE (MS LMHC)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:JANE
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:MS LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 1ST AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3510
Mailing Address - Country:US
Mailing Address - Phone:206-914-0154
Mailing Address - Fax:
Practice Address - Street 1:1015 1ST AVE W
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-3510
Practice Address - Country:US
Practice Address - Phone:206-914-0154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60193567101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health