NPI 1003205147

C Henry Balderrama, MSWLICSW

Practitioner Clinical Social Worker Tacoma, WA

Practice location

Address: 1201 S Proctor St, Tacoma, WA 98405-2047
Phone: (253) 396-5263
Mailing address: 1102 SW 348th Pl, Federal Way, WA 98023-7029

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence LW00005964 (WA)

Other Social Worker providers in Washington →

Registry record

NPI: 1003205147
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2015
Record last updated: 10 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.