Organization
BREATH OF LIFE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI LYNN COULT HAMILTON MA, LMHC (PRESIDENT)
(360) 880-1961
Entity
Organization
Contact information
Practice address
625 S DIAMOND ST, CENTRALIA, WA 98531-3817
(360) 807-8476
Mailing address
PO BOX 1241, CENTRALIA, WA 98531-0730
(360) 807-8476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
03/27/2024
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