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Organization

MARRIAGE AND FAMILY LIFE LLC

Active
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Organization

MARRIAGE AND FAMILY LIFE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT OLSEN LMHC (LICENCED MENTAL HEALTH COUNSELOR)
(253) 302-4345
Entity
Organization

Contact information

Practice address
3102 S 23RD ST, TACOMA, WA 98405-1606
(253) 355-6619
(213) 285-6558
Mailing address
8509 WOODLAWN AVE SW, LAKEWOOD, WA 98499-2922
(253) 302-4345
(213) 285-6558

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH60174444
WA
101YM0800X
Mental Health Counselor
Primary
LH60174444
WA
101YP2500X
Professional Counselor
LH60174444
WA
106H00000X
Marriage & Family Therapist
LH60174444
WA

Other

Enumeration date
01/18/2012
Last updated
08/01/2022
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