Organization
AWAKENING YOUR AUTHENTICITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA CLAYBAUGH LCSW (OWNER, PRESIDENT)
(602) 561-7078
Entity
Organization
Contact information
Practice address
722 N SUMNER ST, PORTLAND, OR 97217-2641
(737) 999-0744
Mailing address
4714 NW 135TH ST, VANCOUVER, WA 98685-1566
(602) 561-7078
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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