| NPI | 1609912591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI PETERS Office Manager 360-734-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |