| Rites Of Passage Nw Llc | |
|
142 E Strong Rd Shelton WA 98584-8861 | |
| (360) 296-3040 | |
| (650) 456-3040 |
| Full Name | Rites Of Passage Nw Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 142 E Strong Rd, Shelton, Washington |
| Authorized Official Name and Position | Nathan A Welch (DIRECTOR) |
| Authorized Official Contact | 3602963040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rites Of Passage Nw Llc 142 E Strong Rd Shelton WA 98584-8861 Ph: (360) 296-3040 | Rites Of Passage Nw Llc 142 E Strong Rd Shelton WA 98584-8861 Ph: (360) 296-3040 |
| NPI Number | 1053701854 |
|---|---|
| Provider Enumeration Date | 01/31/2015 |
| Last Update Date | 01/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053701854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH60344737 (Washington) | Primary |
| 101YM0800X | Counselor - Mental Health | LH60258150 (Washington) | Secondary |
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