| NPI | 1205954864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH JANIS Mental Health Counselor 360-221-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 020703LH00003880) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |