Organization
REALITY CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R GARTH RETALLICK MS, LMHC (OWNER/THERAPIST)
(360) 471-4398
Entity
Organization
Contact information
Practice address
707 SIDNEY PKWY UNIT 14, PORT ORCHARD, WA 98366-5318
(360) 471-4398
Mailing address
707 SIDNEY PKWY, #14, PORT ORCHARD, WA 98366-5318
(360) 471-4398
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LH 60344426
WA
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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