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The Infinite Well, Llc
Mental Health Counselor in Lacey, Washington
NPI 1578071486

The Infinite Well, Llc is a Mental Health Counselor based in Lacey, WA and is specialized in Mental Health. The Infinite Well, Llc practices in Lacey, WA. The NPI Number for The Infinite Well, Llc is 1578071486 and holds a License No. MC60733448 (Washington).

The current practice location address for The Infinite Well, Llc is 581 Malibu Dr Se, Lacey, WA and can be reached out via phone at 360-522-6156.

Location: 581 Malibu Dr Se, Lacey, WA, 98503-2459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578071486
Provider Name
The Infinite Well, Llc
Credential
Provider Entity Type
Organization
Address
581 Malibu Dr Se, Lacey, WA, 98503-2459
Phone Number
360-522-6156
Fax Number
Provider Enumeration Date
01/12/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
581 Malibu Dr Se
City
Lacey
State
Washington
Zip
98503-1376
Phone Number
360-522-6156
Fax Number
person
Provider Business Mailing Address Details
Address
581 Malibu Dr Se
City
Lacey
State
Washington
Zip
98503-1376
Phone Number
360-522-6156
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MC60733448 (Washington)
Definition
Definition to come...
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