| Mytherapist, Pllc | |
|
1240 Se Bishop Blvd Ste Q Pullman WA 99163-5439 | |
| (509) 595-1066 | |
| Not Available |
| Full Name | Mytherapist, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1240 Se Bishop Blvd Ste Q, Pullman, Washington |
| Authorized Official Name and Position | Iain Gerard Crockett (CEO/THERAPIST) |
| Authorized Official Contact | 5095951066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mytherapist, Pllc 1220 Nw State St Apt 20 Pullman WA 99163-3349 Ph: (509) 595-1066 | Mytherapist, Pllc 1240 Se Bishop Blvd Ste Q Pullman WA 99163-5439 Ph: (509) 595-1066 |
| NPI Number | 1265939680 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 04/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265939680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH60763579 (Washington) | Primary |
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