| Axel Therapy Pllc | |
|
20534 Fern St Ne Indianola WA 98342-9007 | |
| (206) 659-9333 | |
| Not Available |
| Full Name | Axel Therapy Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 20534 Fern St Ne, Indianola, Washington |
| Authorized Official Name and Position | Carl Axel Stanovsky (OWNER/MANAGER) |
| Authorized Official Contact | 4252801172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axel Therapy Pllc Po Box 536 Indianola WA 98342-0536 Ph: (206) 659-9333 | Axel Therapy Pllc 20534 Fern St Ne Indianola WA 98342-9007 Ph: (206) 659-9333 |
| NPI Number | 1366156978 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366156978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |