Organization
OLYMPIA PSYCHOTHERAPY INC
Active
Organization
OLYMPIA PSYCHOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GOODWIN MA LMHC CDP (PRESIDENT/PROGRAM DIRECTOR)
(360) 352-3034
Entity
Organization
Contact information
Practice address
1408 STATE AVE NE STE 110, OLYMPIA, WA 98506-4481
(360) 352-3034
(360) 352-3035
Mailing address
1408 STATE AVE NE STE 110, OLYMPIA, WA 98506-4481
(360) 352-3034
(360) 352-3035
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
34139400
WA
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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