| NPI | 1750897492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY COLLEEN KENELA Owner 360-259-9231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60203946) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2018-06-16 |