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Organization
BLUE MOUNTAIN BEHAVIORAL HEALTH PLLC
Active
Organization
BLUE MOUNTAIN BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA M IBARRA LMFT LMHC SUDP (OWNER/PROVIDER)
(253) 240-1964
Entity
Organization
Contact information
Practice address
6711 REGENTS BLVD STE B, UNIVERSITY PLACE, WA 98466-5421
(253) 240-1964
Mailing address
6711 REGENTS BLVD STE B, UNIVERSITY PLACE, WA 98466-5421
(253) 240-1964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
09/16/2024
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