R GARTH RETALLICK

PORT ORCHARD, WA
NPI1417229626
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  LH 60344426)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2012-02-02
Last Update Date2013-10-17
Business Address
-- R GARTH RETALLICK MS, LMHC
707 SIDNEY PKWY UNIT 14
PORT ORCHARD, WA 98366-5318
Phone number: 360-471-4398
Mailing Address
-- R GARTH RETALLICK MS, LMHC
707 SIDNEY PKWY UNIT 14
PORT ORCHARD, WA 98366-5318
Phone number: 360-471-4398
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