| NPI | 1174927024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L HENSLEY Mental Health Counselor 360-471-2953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC 60323887) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |