Organization
CHRYSALIS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR BLACKWELL LMFT (MARRIAGE AND FAMILY THERAPIST)
(509) 362-9411
Entity
Organization
Contact information
Practice address
1403 S GRAND BLVD STE 101S, SPOKANE, WA 99203-2272
(509) 362-9411
Mailing address
1403 S GRAND BLVD STE 101S, SPOKANE, WA 99203-2272
(509) 362-9411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992240212
—
WA
Enumeration date
01/05/2023
Last updated
01/05/2023
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