Organization
A DIFFERENT PATH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MARIE WOODLAND HAMILTON LMHC, SUDP (OWNER)
(360) 863-2913
Entity
Organization
Contact information
Practice address
101 E MAIN ST STE 208, MONROE, WA 98272-1519
(360) 863-2913
Mailing address
19916 OLD OWEN RD # 152, MONROE, WA 98272-9778
(360) 863-2913
(949) 404-8982
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150753
—
WA
Enumeration date
10/25/2019
Last updated
05/14/2023
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