NPI | 1881113413 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA BOSCH Owner/Clinician 509-609-7550 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LCPC-3663) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID MAC) |
101YM0800X Counselor, Mental Health (Licence: ID LCPC-3663) | |
Enumeration Date | 2017-09-14 |
Last Update Date | 2024-04-19 |