| NPI | 1619340445 |
|---|---|
| Other Name | INTROSPECTIVE COUNSELING SERVICES |
| Entity Type | Organization |
| Authorized Contact | KYEISHA EBONY HODGE Mental Health Counselor 205-774-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60507339) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |