Organization
LAKE ASPEN INTEGRATIVE SERVICES
Active
Other names
Lake Aspen Integrative Services
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SIMMONS LICSW (OWNER)
(509) 594-1867
Entity
Organization
Contact information
Practice address
1460 N 16TH AVE STE G, YAKIMA, WA 98902-7102
(509) 594-1867
(509) 575-7796
Mailing address
1460 N 16TH AVE STE G, YAKIMA, WA 98902-7102
(509) 594-1867
(509) 575-7796
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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