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Organization
PRISMATIC COUNSELING, PLLC
Active
Organization
PRISMATIC COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ELLIOT THOMAS MA, LMHC (CLINIC DIRECTOR)
(206) 504-3203
Entity
Organization
Contact information
Practice address
5319 BETHEL RD SE, PORT ORCHARD, WA 98367-7827
(206) 504-3203
Mailing address
1805 SE LUND AVE # 1046, PORT ORCHARD, WA 98366-5555
(206) 504-3203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912626953
—
WA
Enumeration date
08/23/2022
Last updated
01/12/2023
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