Provider Information for 1467744110
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Dr. LINDSAY GHANNAM LMHC, EdD
Sex: Female
NPI: 1467744110
Last Updated: 2021-10-21
Certification Date: 2021-10-21
Certification Date: 2021-10-21
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1467744110 | ||||||||||||
| Enumeration Date | 2011-05-12 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 748 MARKET ST # 44 TACOMA, WA 98402-3737 United States Phone: 239-560-9885 | Fax: | ||||||||||||
| Primary Practice Address | 6505 216TH ST SW STE 100 MOUNTLAKE TERRACE, WA 98043-2089 United States Phone: 239-560-9885 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 2180 MARAVILLA LN | ||||||||||||
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