Provider Demographics
NPI:1689921256
Name:ABBOTT, BEATRIZ H
Entity type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:H
Last Name:ABBOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 7TH AVE SE STE 201
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-1325
Mailing Address - Country:US
Mailing Address - Phone:253-312-5406
Mailing Address - Fax:360-585-8904
Practice Address - Street 1:319 7TH AVE SE STE 201
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1325
Practice Address - Country:US
Practice Address - Phone:253-312-5406
Practice Address - Fax:360-585-8904
Is Sole Proprietor?:No
Enumeration Date:2012-08-13
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60444760101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor