| NPI | 1952635716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L KLEKOTA-CHISHOLM Therapist, Owner 253-617-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60231172) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH 60231172) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2021-07-02 |