| NPI | 1265939680 |
|---|---|
| Doing Business As | MYTHERAPIST, PLLC |
| Entity Type | Organization |
| Authorized Contact | IAIN GERARD CROCKETT CEO/Therapist 509-595-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60763579) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |