| Circle In A Square Counseling, Llc | |
|
677 Woodland Square Loop Se Lacey WA 98503-1000 | |
| (253) 905-0474 | |
| Not Available |
| Full Name | Circle In A Square Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 677 Woodland Square Loop Se, Lacey, Washington |
| Authorized Official Name and Position | Juanita Elizabeth Evans (THERAPIST/OWNER) |
| Authorized Official Contact | 2539050474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle In A Square Counseling, Llc 677 Woodland Square Loop Se Lacey WA 98503-1000 Ph: (253) 905-0474 | Circle In A Square Counseling, Llc 677 Woodland Square Loop Se Lacey WA 98503-1000 Ph: (253) 905-0474 |
| NPI Number | 1821351271 |
|---|---|
| Provider Enumeration Date | 06/20/2012 |
| Last Update Date | 06/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821351271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 60002272 (Washington) | Primary |
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