Olympia Psychotherapy Inc

NPI 1104267558 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1104267558
Enumeration Date 07/15/2013
Last Updated 07/15/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JENNIFER JENNIFER
Position PRESIDENT/PROGRAM DIRECTOR
Phone (360) 352-3034
Fax (360) 352-3035
Practice Location
1408 STATE AVE NE STE 110
OLYMPIA WA, 98506-4481, US
Phone (360) 352-3034
Fax (360) 352-3035
Business Location
1408 STATE AVE NE STE 110
OLYMPIA WA, 98506-4481, US
Phone (360) 352-3034
Fax (360) 352-3035
Toxanomy
Taxonomy Code 251S00000X
License State Washington
License Number 34139400
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According to our database, Olympia Psychotherapy Inc NPI is 1104267558, taxonomy code is 251S00000X and license number is 34139400, license state is located at Washington. Olympia Psychotherapy Inc physically located at 1408 State Ave Ne Ste 110, Olympia WA, 98506-4481. NPI Number 1033115704 has the healthcare provider type.

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1104267558 NPI number is provided on an as is basis without warranty of any kind. 1104267558 is maintained by the National Plan & Provider Enumeration System. The contents of Olympia Psychotherapy Inc are for informational purposes only.