MICHELE LYNN MOCK
NPI 1629447206
Counselor - Mental Health in Puyallup, WA
Active since September 24, 2015
About Michele Lynn Mock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELE LYNN MOCK (NPI 1629447206) is an individual mental health provider in Puyallup, Washington and active in the NPI registry since September 2015.
NPPES Registry Identity
NPI1629447206
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELE LYNN MOCK
Location Address325 E PIONEERPuyallup, WA 98372-3265
Mailing Address325 E PioneerPuyallup, WA 98372-3265 · (253) 697-8400 · Fax (253) 697-3730
Phone(253) 697-8400
Fax(253) 697-3730
Sole ProprietorNo
Enumeration DateSeptember 24, 2015
✔ NPI 1629447206 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
325 E PIONEER, Puyallup, WA 98372
Other Names 1
Former Name (1)Michele Lynn Campbell
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629447206, enumerated as an "individual" on September 24, 2015.
The provider is located at 325 E PIONEER PUYALLUP, WA 98372 and the phone number is (253) 697-8400.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.