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Organization

SOUL CARE CENTER OF THE WEST COAST

Active
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Organization

SOUL CARE CENTER OF THE WEST COAST

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. EMILY VIOLET VICKERMAN LMHCA (THERAPIST/CO-OWNER)
(509) 594-4917
Entity
Organization

Contact information

Practice address
120 VAN BELLE RD, GRANGER, WA 98932-9767
(509) 303-5775
Mailing address
120 VAN BELLE RD, GRANGER, WA 98932-9767
(509) 594-4917

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—

Other

Enumeration date
10/04/2024
Last updated
10/15/2024
About Stedi
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