| NPI | 1538763818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE SUZELIS Owner 509-879-9069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2020-11-26 |
| Last Update Date | 2020-11-26 |