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 |