Organization
CEDAR RIVER PSYCHOTHERAPY & RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN KAY MOYNIHAN LMHC (PRESIDENT)
(206) 388-8203
Entity
Organization
Contact information
Practice address
119 PELLY AVE N, RENTON, WA 98057-5714
(206) 388-8203
Mailing address
119 PELLY AVE N, RENTON, WA 98057-5714
(206) 388-8203
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LH00008596
WA
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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