Organization
BEHIND THE MASK THERAPY
Active
Other names
Behind the Mask Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY HANSEN LMFT (THERAPIST)
(253) 279-0032
Entity
Organization
Contact information
Practice address
1908 NW 4TH AVE, BATTLE GROUND, WA 98604-6823
(253) 279-0032
Mailing address
1908 NW 4TH AVE, BATTLE GROUND, WA 98604-6823
(253) 279-0032
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851671853
NPI
WA
01
—
604-636-312
UBI
WA
Enumeration date
07/20/2020
Last updated
07/20/2020
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