| NPI | 1861663684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE T DOLLIVER Owner 509-966-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WA 601922782) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 601922782) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2021-10-04 |