Provider Demographics
NPI:1386798379
Name:SAUNDERS, MONICA DAWN (MA,LMHC)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:DAWN
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:MA,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13704 162ND STREET CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-9665
Mailing Address - Country:US
Mailing Address - Phone:360-893-4426
Mailing Address - Fax:360-893-4427
Practice Address - Street 1:13704 162ND STREET CT E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-9665
Practice Address - Country:US
Practice Address - Phone:360-893-4426
Practice Address - Fax:360-893-4427
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004292101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional