NPI | 1124504642 |
---|---|
Doing Business As | RE2 THERAPY |
Entity Type | Organization |
Authorized Contact | RONDA EVANS Lic. Marriage And Family Therapist 707-338-0827 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60618799) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LF60618799) |
Enumeration Date | 2018-07-17 |
Last Update Date | 2018-07-17 |