Provider Demographics
NPI:1851442388
Name:DARIN-AMOS, ANN (MA)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:DARIN-AMOS
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 1:3529 S K ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98418-4025
Mailing Address - Country:US
Mailing Address - Phone:360-359-6483
Mailing Address - Fax:
Practice Address - Street 1:5201 OLYMPIC DR STE 210
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1778
Practice Address - Country:US
Practice Address - Phone:253-752-7320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60168293101YM0800X
WARC00048014101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALH60168293OtherSTATE LICENSURE
WARC00048014OtherREGISTERED COUNSELOR