Organization
AWAKENED SOUL COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA RENAE KRISTIAN EWING LICSW (OWNER/THERAPIST)
(360) 513-0550
Entity
Organization
Contact information
Practice address
15325 N NEWPORT HWY, MEAD, WA 99021-9592
(360) 513-0550
Mailing address
15325 N NEWPORT HWY, MEAD, WA 99021-9592
(360) 513-0550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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