NPI 1104267558

Olympia Psychotherapy INC

Organisation Community/Behavioral Health Agency Olympia, WA

Practice location

Address: 1408 State Ave NE STE 110, Olympia, WA 98506-4481
Phone: (360) 352-3034
Fax: (360) 352-3035

Authorised official

Name: Jennifer Goodwin
Title: President/Program Director
Phone: (360) 352-3034

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 34139400 (WA)

Other Community/Behavioral Health providers in Washington →

Registry record

NPI: 1104267558
Entity type: Organization
NPI issued: 15 Jul 2013
Record last updated: 15 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.