Organization
HOPE REVISITED COUNSELING SERVICES PLLC
Active
Other names
Hope Revisited Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA RENEE MILES LICSW (OWNER)
(509) 821-1035
Entity
Organization
Contact information
Practice address
500 W ROBERT BUSH DR STE 3, SOUTH BEND, WA 98586-9075
(360) 209-3240
Mailing address
PO BOX 532, SOUTH BEND, WA 98586-0532
(509) 821-1035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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