| NPI | 1770757403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN W CLEMMONS Mental Health Therapist 509-205-5639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00011096) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-06-26 |