| NPI | 1467074609 |
|---|---|
| Doing Business As | KRAVE LYFE MENTAL HEALTH COUNSELING |
| Entity Type | Organization |
| Authorized Contact | CASSIE A ICENOGLE Owner 360-506-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |