| NPI | 1801107578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR P LISENKO Lmhc Owner 425-736-6076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00010867) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |