Organization
DRAGONFLY COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA L CHARLES LICSW (OWNER/CLINICIAN)
(509) 254-5053
Entity
Organization
Contact information
Practice address
920 6TH ST, CLARKSTON, WA 99403-2079
(509) 254-5053
(509) 769-3500
Mailing address
PO BOX 2031, CLARKSTON, WA 99403-4031
(509) 254-5053
(509) 769-3500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
LW60737830
WA
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235554668
PERSONAL NPI
WA
01
—
1396368668
PERSONAL NPI
WA
01
—
1730529165
PERSONAL NPI
—
Enumeration date
09/08/2017
Last updated
02/07/2024
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