Organization
PSYCHED FOR LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MARIE DILTZ LICSW (OWNER/THERAPIST)
(360) 582-7908
Entity
Organization
Contact information
Practice address
713 S ALDER LN, PORT ANGELES, WA 98362-8462
(136) 058-2790
Mailing address
713 S ALDER LN, PORT ANGELES, WA 98362-8462
(136) 058-2790
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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