Organization
ADVENTURE PSYCHOTHERAPY
Active
Other names
Adventure Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GASKILL (CEO)
(360) 582-6032
Entity
Organization
Contact information
Practice address
222 N LINCOLN ST STE 210, PORT ANGELES, WA 98362-2913
(360) 582-6032
Mailing address
215 W 5TH ST, PORT ANGELES, WA 98362-2811
(360) 582-6032
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/06/2023
Last updated
03/20/2024
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