| NPI | 1639628712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY JEAN LEBLANC Owner, Therapist 360-836-1297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60211288) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |