Provider Demographics
NPI:1104253624
Name:SOWERS, ROBYN MORISETTE (LMFT)
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:MORISETTE
Last Name:SOWERS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 33RD AVE NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-2830
Mailing Address - Country:US
Mailing Address - Phone:360-556-6374
Mailing Address - Fax:
Practice Address - Street 1:924 7TH AVE SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1548
Practice Address - Country:US
Practice Address - Phone:360-556-6374
Practice Address - Fax:360-753-4308
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-29
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60671036106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist