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Organization
INNERSPACE PROFESSIONAL COUNSELING
Active
Organization
INNERSPACE PROFESSIONAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA SMITH (OWNER)
(479) 244-0453
Entity
Organization
Contact information
Practice address
5605 FINCH DR APT 215, LONGVIEW, WA 98632-9244
(479) 244-0453
Mailing address
600 1ST AVE STE 102, SEATTLE, WA 98104-2287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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