Provider First Line Business Practice Location Address:
1620 OLYMPIC HWY N
Provider Second Line Business Practice Location Address:
MENTAL HEALTH PROFESSIONALS, LLC
Provider Business Practice Location Address City Name:
SHELTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98584-3052
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-462-3320
Provider Business Practice Location Address Fax Number:
360-930-6887
Provider Enumeration Date:
07/19/2007