Basic Information
| Provider Information | |||||||||
| NPI: | 1376721910 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | METZLER | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | LMHC, NCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2121 S 19TH ST | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984052922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2533961634 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2121 S 19TH ST | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984052922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2533961634 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2008 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | LH 60191797 | WA | N | Behavioral Health & Social Service Providers | Counselor | 101YP2500X | LH60191797 | WA | N | Behavioral Health & Social Service Providers | Counselor | Professional | 101YM0800X | LH60191797 | WA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
ID Information
| ID | Type | State | Issuer | Description | 1994250 | 05 | WA | MEDICAID |