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Organization
THIN LINE THERAPY 206 LLC
Active
Organization
THIN LINE THERAPY 206 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIE M PETERSON MHA MS LPCC LPC LMHC (OWNER)
(509) 713-2150
Entity
Organization
Contact information
Practice address
907 SHASTA DR, WALLA WALLA, WA 99362-1537
(509) 713-2150
Mailing address
907 SHASTA DR, WALLA WALLA, WA 99362-1537
(509) 713-2150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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