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Organization

WESTSIDE COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHYLLIS J HENDERSON M.D. (PRESIDENT)
(509) 249-0205
Entity
Organization

Contact information

Practice address
418 S 44TH AVE, YAKIMA, WA 98908-3303
(509) 249-0105
Mailing address
418 S. 44TH AVE, YAKIMA, WA 98908
(509) 249-0105

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
WA

Other

Enumeration date
04/18/2008
Last updated
07/21/2022
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