| NPI | 1912310103 |
|---|---|
| Other Name | PUGET SOUND PSYCHOTHERAPY, INC |
| Entity Type | Organization |
| Authorized Contact | BRIEN WOOD Officer 206-571-3069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60071756) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60354195) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |