| NPI | 1205088077 |
|---|---|
| Doing Business As | CLINIC FOR COUNSELING AND PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY DONOVAN HART Medical Director 253-838-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MD00022597) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-11-20 |