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Organization
SANDBOX CHILD AND FAMILY COUNSELING, PLLC
Active
Organization
SANDBOX CHILD AND FAMILY COUNSELING, PLLC
Active
Other names
Sandbox Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGEN HOLGATE MSW (OWNER)
(509) 833-6669
Entity
Organization
Contact information
Practice address
107 W ORCHARD AVE, SELAH, WA 98942-1329
(509) 833-6669
(206) 641-7233
Mailing address
107 W ORCHARD AVE, SELAH, WA 98942-1329
(509) 833-6669
(206) 641-7233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LW60421748
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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