Provider Demographics
NPI:1942625868
Name:ROVIK, PAULA M (LMHC)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:M
Last Name:ROVIK
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 1:21870 APOLLO DR NE
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-6707
Mailing Address - Country:US
Mailing Address - Phone:360-813-5502
Mailing Address - Fax:
Practice Address - Street 1:225 NW LINDVIG WAY
Practice Address - Street 2:SUITE 6
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-6520
Practice Address - Country:US
Practice Address - Phone:360-813-5502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-28
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60365013101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health