Organization
ESSENTIAL SELF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLE A. HAYES CDP, LMHC (OWNER/ADMINISTRATOR)
(253) 929-8732
Entity
Organization
Contact information
Practice address
1501 15TH ST NW, SUITE 107, AUBURN, WA 98001-3507
(253) 929-8732
(253) 929-8738
Mailing address
1501 15TH ST NW, SUITE 107, AUBURN, WA 98001-3507
(253) 929-8732
(253) 929-8738
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LH60172456
WA
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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