Provider Demographics
NPI:1316933930
Name:DEBOER, SONYA ANN-MARIE (MC, LMFT)
Entity type:Individual
Prefix:MRS
First Name:SONYA
Middle Name:ANN-MARIE
Last Name:DEBOER
Suffix:
Gender:F
Credentials:MC, LMFT
Other - Prefix:MRS
Other - First Name:SONYA
Other - Middle Name:DEBOER
Other - Last Name:CAMERON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1919 N PEARL ST
Mailing Address - Street 2:STE C1, PEARL COUNSELING ASSOCIATES
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-2461
Mailing Address - Country:US
Mailing Address - Phone:253-752-1860
Mailing Address - Fax:253-752-1890
Practice Address - Street 1:1919 N PEARL ST
Practice Address - Street 2:STE C1, PEARL COUNSELING ASSOCIATES
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-2461
Practice Address - Country:US
Practice Address - Phone:253-752-1860
Practice Address - Fax:253-752-1890
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001836106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist