| NPI | 1720727910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL HAGENSEN Member Owner 360-904-9432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106H00000X Marriage & Family Therapist | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 171100000X Acupuncturist | |
| 171400000X | |
| 175F00000X Naturopath | |
| 175L00000X Homeopath | |
| 202D00000X | |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| 225600000X Dance Therapist | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |