| NPI | 1730607854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA L CHARLES Owner/Clinician 509-254-5053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60737830) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2024-02-07 |