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Swiftwater Counseling Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
SWIFTWATER COUNSELING LLC15488873832020-06-27
Entity TypeOrganization
Provider OrganizationSWIFTWATER COUNSELING LLC
Practice Office Address116 N OAKES AVE STE A2
CLE ELUM, WA US
Practice Office Telephone5099610547
Mailing AddressPO BOX 346
NACHES, WA 989370346 US
Business Telephone5099610547
Authorized OfficialCARLY MANKUS, PROVIDER/OWNER
5099610547
HPT Codes
CodeLicense NoState
261QM0850X PRIMARY
OPI Codes
1770863987 OTHER WA INDIVIDUAL NPI
Governmental Registrations [CAGE/NCAGE/DUNS]

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