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Organization
SACRED DREAMS COUNSELING CENTER
Active
Organization
SACRED DREAMS COUNSELING CENTER
Active
Other names
Sacred Dreams Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA R NIELSEN MA (CLINICAL DIRECTOR)
(360) 385-1350
Entity
Organization
Contact information
Practice address
11237 RHODY DR STE A, PORT HADLOCK, WA 98339-9749
(360) 385-1350
(360) 385-9600
Mailing address
PO BOX 1014, CHIMACUM, WA 98325-1014
(603) 385-1350
(360) 385-9600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467834135
—
WA
05
—
214041
—
WA
Enumeration date
07/16/2019
Last updated
02/29/2020
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