# PSYCHIATRIC AND COUNSELING SERVICES OF OLYMPIA, PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013123629
- **Authorized official:** MR. SAMUEL STARR KEITH ARNP (CEO)
- **Authorized official phone:** (360) 709-3332

## Contact information

- **Practice address:** 2114 CATON WAY SW \# 201, OLYMPIA, WA 98502-1105
- **Practice address phone:** (360) 709-3332
- **Practice address fax:** (360) 709-3336
- **Mailing address:** 2114 CATON WAY SW \# 201, OLYMPIA, WA 98502-1105
- **Mailing address phone:** (360) 709-3332
- **Mailing address fax:** (360) 709-3336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP30003632 | WA | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 05/12/2010