NPI | 1699970814 |
---|---|
Doing Business As | LISA MAYFIELD |
Entity Type | Organization |
Authorized Contact | LISA DEROSIER MAYFIELD President 206-660-3276 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00007998) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2020-08-22 |