| NPI | 1134738990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A OVERTON Owner/Provider 425-205-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-09-02 |