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Organization
SPIRIT OF HEALING
Active
Organization
SPIRIT OF HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY A. MELLOR (PARTNER)
(253) 863-1997
Entity
Organization
Contact information
Practice address
1818 MAIN ST, SUITE C, SUMNER, WA 98390-1849
(253) 863-1997
Mailing address
1818 MAIN ST, SUITE C, SUMNER, WA 98390-1849
(253) 863-1997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00006700
WA
101YM0800X
Mental Health Counselor
RC00044737
WA
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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