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Organization
MADRONA COUNSELING INSTITUTE
Active
Organization
MADRONA COUNSELING INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA PERRYMAN PHD, LMHC, APCC (DIRECTOR / CEO)
(916) 413-8544
Entity
Organization
Contact information
Practice address
434 MADRONA ST STE C, EASTSOUND, WA 98245-8573
(916) 413-8544
Mailing address
PO BOX 951, EASTSOUND, WA 98245-0951
(916) 413-8544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604693208
WA BUSINESS LICENSE
WA
Enumeration date
10/18/2022
Last updated
10/18/2022
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