| NPI | 1104704683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CLARK Licensed Clinical Professional Coun 509-438-6625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2025-08-23 |
| Last Update Date | 2025-08-23 |