Individual
AYTCH DENARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 STATE AVE NE, OLYMPIA, WA 98506-3984
(360) 943-0780
Mailing address
711 STATE AVE NE, OLYMPIA, WA 98506-3984
(586) 596-8723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LW61054459
WA
104100000X
Social Worker
Primary
LW61054459
WA
1041C0700X
Clinical Social Worker
LW61054459
WA
1041C0700X
Clinical Social Worker
SC60733969
WA
Other
Enumeration date
08/30/2017
Last updated
07/25/2024
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