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Search › Washington › 1041C0700X

Tammy Countryman, LICSW

NPI 1073058400 · on the registry since 2016

Practice

Address
605 S Coolidge St
Moses Lake, WA 98837
Phone
(509) 764-6111
Organisation at this address
Moses Lake Community Health Center
Moses Lake Community Health Center
Moses Lake Community Health Center
Moses Lake Community Health Center
Moses Lake Community Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
118

Additional practice sites

  • 1742 Oregon St, Redding, CA

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
1041C0700X
Licence states on file
WA, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington