LAUREN REBECCA WAXWING

OLYMPIA, WA
NPI1356858443
Former NameLAUREN REBECCA CAPENER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: WA  LF61111568)
Additional Taxonomies101Y00000X Counselor
(Licence: WA  MC60883783)
Enumeration Date2018-01-10
Last Update Date2021-01-25
Business Address
LAUREN REBECCA WAXWING
505 UNION AVE SE
OLYMPIA, WA 98501
Phone number: 360-943-0780
Mailing Address
LAUREN REBECCA WAXWING
505 UNION AVE SE
OLYMPIA, WA 98501-1473
Phone number: 360-943-0780