NPI:
1265939680
Provider Name:
MYTHERAPIST, PROFESSIONAL MENTAL HEALTH SERVICES, PLLC
Doing Business As: MYTHERAPIST, PLLC
Classification:
Counselor - 101YM0800X
Entity Type:
Organization
Specialization: Mental Health
Address:
1240 SE BISHOP BLVD STE Q
PULLMAN, WA
ZIP 99163
Phone:
(509) 595-1066
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MYTHERAPIST, PROFESSIONAL MENTAL HEALTH SERVICES, PLLC is a mental health counselor in Pullman, WA. MYTHERAPIST, PROFESSIONAL MENTAL HEALTH SERVICES, PLLC NPI is 1265939680. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mytherapist, Pllc.
The provider's business location address is:
1240 SE BISHOP BLVD STE Q
PULLMAN, WA
ZIP 99163-439
Phone: (509) 595-1066
The provider's authorized official is Iain Gerard Crockett .
The authorized official title is Ceo/therapist and has the following contact phone number (509) 595-1066.
The enumeration date for this NPI number is 4/11/2018 and was last updated on 4/11/2018.