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Organization
NISQUALLY INDIAN TRIBE
Active
Organization
NISQUALLY INDIAN TRIBE
Active
Parent organization
NISQUALLY INDIAN TRIBE
Organization subpart
Yes
Provider details
NPI number
Legal business name
NISQUALLY INDIAN TRIBE
Authorized official
CYNTHIA IYALL (CENTER ADMINISTRATOR)
(360) 456-5221
Entity
Organization
Contact information
Practice address
10747 TODTKARLE RD SE, OLYMPIA, WA 98513-9286
(360) 456-5221
Mailing address
4820 SHE NAH NUM DR SE, OLYMPIA, WA 98513-9105
(360) 456-5221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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