Organization
REAL HEAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA CALLENDER LICSW (OWNER/ PROVIDER)
(360) 999-8467
Entity
Organization
Contact information
Practice address
677 WOODLAND SQUARE LOOP SE UNIT B-6, LACEY, WA 98503-1000
(360) 999-8467
(360) 352-8868
Mailing address
677 WOODLAND SQUARE LOOP SE UNIT B-6, LACEY, WA 98503-1000
(360) 999-8467
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083910590
INDIVIDUAL NPI
—
Enumeration date
05/10/2023
Last updated
05/21/2023
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