| NPI | 1679950505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN CONRAD President/Owner/Clinical Director 509-579-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00008582) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC60396737) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2016-02-02 |