Provider Demographics
NPI:1023290947
Name:GAFFNEY, DESIREE MARIE (MA, LMHC)
Entity type:Individual
Prefix:MRS
First Name:DESIREE
Middle Name:MARIE
Last Name:GAFFNEY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:MISS
Other - First Name:DESIREE
Other - Middle Name:MARIE
Other - Last Name:MCELROY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:3807 N BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-1843
Mailing Address - Country:US
Mailing Address - Phone:253-906-2784
Mailing Address - Fax:
Practice Address - Street 1:1201 S PROCTOR ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-2047
Practice Address - Country:US
Practice Address - Phone:253-906-2784
Practice Address - Fax:253-759-7008
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60373141101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health