Organization
SANDBOX CHILD AND FAMILY COUNSELING, PLLC
Active
Other names
Sandbox Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAGEN HOLGATE MSW (OWNER)
(509) 833-6669
Entity
Organization
Contact information
Practice address
107 W ORCHARD AVE, SELAH, WA 98942-1329
(509) 833-6669
(206) 641-7233
Mailing address
107 W ORCHARD AVE, SELAH, WA 98942-1329
(509) 833-6669
(206) 641-7233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LW60421748
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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