| NPI | 1316238678 |
|---|---|
| Doing Business As | MINDFUL THERAPY GROUP |
| Entity Type | Organization |
| Authorized Contact | DEREK ALAN CRAIN Owner 425-640-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 00009354) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 00006954) |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW 60165078) | |
| 106H00000X Marriage & Family Therapist (Licence: WA LF 60159362) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2024-05-02 |