| NPI | 1932529120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PHILLIP OLSEN President 425-628-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60450953) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY 60411510) |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2015-01-14 |