Provider Demographics
NPI:1104225598
Name:COMTE, MICHAEL ALLAN (MSW ACSW)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ALLAN
Last Name:COMTE
Suffix:
Gender:M
Credentials:MSW ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 COURT A STE 103
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-5227
Mailing Address - Country:US
Mailing Address - Phone:253-564-3622
Mailing Address - Fax:253-564-1441
Practice Address - Street 1:711 COURT A STE 103
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-5227
Practice Address - Country:US
Practice Address - Phone:253-564-3622
Practice Address - Fax:253-564-1441
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAFC00000024101Y00000X
WALW000054171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA911298535OtherEIN