# DALIS LA GROTTA COUNSELING PLLC

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

## Provider details

- **NPI number:** 1104431030
- **Authorized official:** DALIS LA GROTTA MA, LMHC (MENTAL HEALTH COUNSELOR)
- **Authorized official phone:** (206) 854-4122

## Contact information

- **Practice address:** 435 W BELL ST STE D, SEQUIM, WA 98382-2916
- **Practice address phone:** (360) 797-1429
- **Practice address fax:** (360) 477-4939
- **Mailing address:** PO BOX 893, CARLSBORG, WA 98324-0893
- **Mailing address phone:** (206) 854-4122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2020
- **Last updated:** 09/08/2020