Individual
CLOVE PELLANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LSWAIC MHP CDPT
Contact information
Practice address
711 STATE AVE NE, OLYMPIA, WA 98506
(360) 878-4231
(360) 943-0785
Mailing address
711 STATE AVE NE, OLYMPIA, WA 98506
(360) 943-0780
(360) 943-0785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SC60743541
WA
1041C0700X
Clinical Social Worker
Primary
SC60743541
WA
Other
Enumeration date
03/10/2017
Last updated
11/19/2018
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