NPI | 1457458721 |
---|---|
Entity Type | Organization |
Authorized Contact | MELINDA J BROUSSARD Office Manager 253-473-1844 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CP00000521) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |