Provider Demographics
NPI:1902012552
Name:PIPER, GEOFFREY A (MC MFT)
Entity Type:Individual
Prefix:MR
First Name:GEOFFREY
Middle Name:A
Last Name:PIPER
Suffix:
Gender:M
Credentials:MC MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25307 62ND AVE S
Mailing Address - Street 2:#Q203
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-2241
Mailing Address - Country:US
Mailing Address - Phone:253-217-7022
Mailing Address - Fax:
Practice Address - Street 1:25307 62ND AVE S
Practice Address - Street 2:#Q203
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-2241
Practice Address - Country:US
Practice Address - Phone:253-217-7022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00020385101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health