| Olympia Psychotherapy Inc | |
|
1408 State Ave Ne Ste 110 Olympia WA 98506-4481 | |
| (360) 352-3034 | |
| (360) 352-3035 |
| Full Name | Olympia Psychotherapy Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1408 State Ave Ne Ste 110, Olympia, Washington |
| Authorized Official Name and Position | Jennifer Goodwin (PRESIDENT/PROGRAM DIRECTOR) |
| Authorized Official Contact | 3603523034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Olympia Psychotherapy Inc 1408 State Ave Ne Ste 110 Olympia WA 98506-4481 Ph: (360) 352-3034 | Olympia Psychotherapy Inc 1408 State Ave Ne Ste 110 Olympia WA 98506-4481 Ph: (360) 352-3034 |
| NPI Number | 1104267558 |
|---|---|
| Provider Enumeration Date | 07/15/2013 |
| Last Update Date | 07/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104267558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 34139400 (Washington) | Primary |
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