| NPI | 1255879706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RUDD Clinical Director 509-315-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LF60063971) |
| 103TF0000X Psychologist, Family | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist (Licence: WA LF60074423) | |
| Enumeration Date | 2017-02-04 |
| Last Update Date | 2024-05-22 |