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Organization
SHADES OF GRACE EMDR, EQUINE, IFS THERAPY, PLLC
Active
Organization
SHADES OF GRACE EMDR, EQUINE, IFS THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE MILLER PSYD, LMFT (OWNER, CLINICIAN, PROVIDER)
(360) 451-9253
Entity
Organization
Contact information
Practice address
599 NW WALKER RD, POULSBO, WA 98370-8140
(360) 451-9253
Mailing address
599 NW WALKER RD, POULSBO, WA 98370-8140
(360) 451-9253
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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