Provider Demographics
NPI:1104975242
Name:FOLLMAN, JAMES (PHDC LMHC, NCAC I)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:FOLLMAN
Suffix:
Gender:M
Credentials:PHDC LMHC, NCAC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 S ANACORTES ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-3010
Mailing Address - Country:US
Mailing Address - Phone:360-755-1125
Mailing Address - Fax:360-757-1125
Practice Address - Street 1:910 S ANACORTES ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-3010
Practice Address - Country:US
Practice Address - Phone:360-755-1125
Practice Address - Fax:360-757-1125
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00001856101YA0400X
WALH00008388101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1881755106OtherPREFERRED PROVIDER ORGANI