Organization
THRIVE CSS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SASHA-MARIE J SQUIRES MA LCPC, LCC (OWNER)
(406) 600-3756
Entity
Organization
Contact information
Practice address
614 S 3RD ST RM 100, DAYTON, WA 99328-1562
(406) 600-3756
Mailing address
110 RIVER RANCH LN, DAYTON, WA 99328-8628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106S00000X
Behavior Technician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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