| NPI | 1003183328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA LOUISE FLETCHER Therapist 360-524-5879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 00004167) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 00004883) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2012-11-15 |