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Organization

SELF HEALS THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELA BONELLO (CREDENTIALER/BILLER)
(253) 228-5757
Entity
Organization

Contact information

Practice address
3721 4TH AVE NW, OLYMPIA, WA 98502-2645
(503) 440-7378
Mailing address
PO BOX 11183, OLYMPIA, WA 98508-1183
(503) 440-7378

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
08/18/2025
Last updated
09/05/2025
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