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Organization
ELLISON COACHING & COUNSELING GROUP
Active
Organization
ELLISON COACHING & COUNSELING GROUP
Active
Other names
Life Course Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADAIR LOUISE HASTY-VANNOY (OWNER/ DIRECTOR)
(206) 816-2706
Entity
Organization
Contact information
Practice address
24437 RUSSELL RD STE 230, KENT, WA 98032-4950
(206) 816-2706
(253) 236-4107
Mailing address
PO BOX 59284, RENTON, WA 98058-2284
(206) 816-2706
(253) 236-4107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
603 152 746
WA
Other
Enumeration date
01/29/2015
Last updated
07/27/2020
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