# CRYSALIS COUNSELING & ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578270930
- **Authorized official:** MS. JULIE CHRISTINE MCINNIS MA LMHC NBCC (APPROVED CLINICAL SUPERVISOR)
- **Authorized official phone:** (360) 357-7446

## Contact information

- **Practice address:** 1801 W BAY DR NW STE 208A, OLYMPIA, WA 98502-4314
- **Practice address phone:** (360) 357-7446
- **Practice address fax:** (360) 252-7320
- **Mailing address:** 1801 W BAY DR NW STE 208A, OLYMPIA, WA 98502-4314
- **Mailing address phone:** (360) 357-7446
- **Mailing address fax:** (360) 252-7320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2022
- **Last updated:** 11/03/2022