| NPI | 1659611705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY L POIRRIER Member, Therapist 253-306-0896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60161094) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60330540) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |