Organization
BOLESKY INTENTION INC
Active
Other names
Soma Institute of Neuromuscular Integration
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN L BOLESKY LMHC LMP (OWNER PRESIDENT CORP)
(360) 829-1025
Entity
Organization
Contact information
Practice address
730 GRAVITY WAY, BUCKLEY, WA 98321-9587
(360) 829-1025
(360) 829-2805
Mailing address
730 GRAVITY WAY, BUCKLEY, WA 98321-9587
(360) 829-1025
(360) 829-2805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00004290
WA
225700000X
Massage Therapist
MA00004219
WA
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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