| Innerspace Professional Counseling | |
|
5605 Finch Dr Apt 215 Longview WA 98632-9244 | |
| (479) 244-0453 | |
| Not Available |
| Full Name | Innerspace Professional Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5605 Finch Dr Apt 215, Longview, Washington |
| Authorized Official Name and Position | Sara Smith (OWNER) |
| Authorized Official Contact | 4792440453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerspace Professional Counseling 600 1st Ave Ste 102 Seattle WA 98104-2287 Ph: () - | Innerspace Professional Counseling 5605 Finch Dr Apt 215 Longview WA 98632-9244 Ph: (479) 244-0453 |
| NPI Number | 1609601400 |
|---|---|
| Provider Enumeration Date | 09/03/2024 |
| Last Update Date | 09/03/2024 |
| Certification Date | 09/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609601400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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