| NPI | 1962172494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RYAN MATHIS Licensed Mental Health Counselor 360-420-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |