Provider Demographics
NPI:1730362708
Name:SWEEM, MICHELLE ANNE (BA)
Entity type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:ANNE
Last Name:SWEEM
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:ANNE
Other - Last Name:BRINK-SWEEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:9330 59TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2858
Mailing Address - Country:US
Mailing Address - Phone:253-581-6201
Mailing Address - Fax:253-620-5013
Practice Address - Street 1:9330 59TH AVE SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2858
Practice Address - Country:US
Practice Address - Phone:253-581-6201
Practice Address - Fax:253-620-5013
Is Sole Proprietor?:No
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00058598101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WARC00058598OtherSTATE OF WASHINGTON