# ADVENTURE PSYCHOTHERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adventure Psychotherapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154107027
- **Authorized official:** MARK GASKILL (CEO)
- **Authorized official phone:** (360) 582-6032

## Contact information

- **Practice address:** 222 N LINCOLN ST STE 210, PORT ANGELES, WA 98362-2913
- **Practice address phone:** (360) 582-6032
- **Mailing address:** 215 W 5TH ST, PORT ANGELES, WA 98362-2811
- **Mailing address phone:** (360) 582-6032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/06/2023
- **Last updated:** 03/20/2024