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Organization

ELLENSBURG COUNSELING SERVICES PLLC

Active
Other names
Marti K. Bradley
Organization subpart
No

Provider details

NPI number
Authorized official
MARTI K. BRADLEY MSW (OWNER)
(509) 925-2123
Entity
Organization

Contact information

Practice address
109 E 3RD AVE, SUITE 7, ELLENSBURG, WA 98926-3357
(509) 925-2123
(509) 925-2008
Mailing address
109 E 3RD AVE, SUITE 7, ELLENSBURG, WA 98926-3357
(509) 925-2123
(509) 925-2008

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006668
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184635146
NPI
WA
Enumeration date
12/09/2006
Last updated
08/22/2020
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