| NPI | 1669337366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY FERGUSON Provider/Owner 253-335-6013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-12-16 |
| Last Update Date | 2025-12-16 |