| NPI | 1578270930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CHRISTINE MCINNIS Approved Clinical Supervisor 360-357-7446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-11-03 |