MICHAEL SPAIN

CENTRALIA, WA
NPI1972063063
Former NameMICHAEL STEVEN BUAKNECHT
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  CU61643874)
Additional Taxonomies101Y00000X Counselor
(Licence: WA  60942160)
101YM0800X Counselor, Mental Health
Enumeration Date2019-03-23
Last Update Date2025-02-11
Business Address
MICHAEL SPAIN
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
Mailing Address
MICHAEL SPAIN
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044