| NPI | 1861502031 |
|---|---|
| Doing Business As | JAMIE GAVIN, PHD |
| Entity Type | Organization |
| Authorized Contact | JAMIE E GAVIN CEO 509-386-6524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WA LH0004520) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00004549) |
| 101YM0800X Counselor Mental Health (Licence: WA LH00004520) | |
| 101YP1600X Counselor Pastoral (Licence: WA LH00004520) | |
| 106H00000X Marriage & Family Therapist (Licence: WA LH00004520) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-07-02 |