| NPI | 1588116024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ST JACQUES Owner 425-780-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60116269) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |