| NPI | 1003792136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA JUSTINE COLLINS Mental Health Counselor 360-878-6714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |