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Organization
KRAVE LYFE MENTAL HEALTH COUNSELING
Active
Organization
KRAVE LYFE MENTAL HEALTH COUNSELING
Active
Other names
Krave Lyfe Mental Health Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE A ICENOGLE LMHC (OWNER)
(360) 506-4886
Entity
Organization
Contact information
Practice address
6326 MARTIN WAY E STE 200, LACEY, WA 98516-5570
(253) 223-5578
Mailing address
6326 MARTIN WAY E STE 200, LACEY, WA 98516-5570
(253) 223-5578
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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