| NPI | 1174754071 |
|---|---|
| Other Name | EVERGREEN COUNSELING SERVICES, PS |
| Entity Type | Organization |
| Authorized Contact | DALE EDWARD WOTRING President 360-694-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00005079) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L0895) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |