Organization
AEGIS COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRADY C HOAGLUND PH.D (OWNER)
(509) 869-4578
Entity
Organization
Contact information
Practice address
405 W WALNUT ST STE 2, NEWPORT, WA 99156-9388
(509) 869-4578
Mailing address
946 ROBERTS RD, NEWPORT, WA 99156-5335
(509) 869-4578
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
05/23/2023
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