Provider Demographics
NPI:1215364237
Name:MOUSTAKAS, ARGYRO JULIE (LMHC)
Entity type:Individual
Prefix:MRS
First Name:ARGYRO
Middle Name:JULIE
Last Name:MOUSTAKAS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1498 SE TECH CENTER PL
Mailing Address - Street 2:SUITE 385
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-9591
Mailing Address - Country:US
Mailing Address - Phone:503-933-0598
Mailing Address - Fax:360-326-9691
Practice Address - Street 1:1498 SE TECH CENTER PL
Practice Address - Street 2:SUITE 385
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-9591
Practice Address - Country:US
Practice Address - Phone:503-933-0598
Practice Address - Fax:360-326-9691
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60400350101YM0800X
WACG60210325251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health