Provider Demographics
NPI:1740098110
Name:PALMER, DARIUS LAMAR (MS, LMHCA)
Entity type:Individual
Prefix:
First Name:DARIUS
Middle Name:LAMAR
Last Name:PALMER
Suffix:
Gender:M
Credentials:MS, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17837 1ST AVE S # 129
Mailing Address - Street 2:
Mailing Address - City:NORMANDY PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98148-1728
Mailing Address - Country:US
Mailing Address - Phone:619-869-6051
Mailing Address - Fax:
Practice Address - Street 1:17837 1ST AVE S # 129
Practice Address - Street 2:
Practice Address - City:NORMANDY PARK
Practice Address - State:WA
Practice Address - Zip Code:98148-1728
Practice Address - Country:US
Practice Address - Phone:619-869-6051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61365470101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health