Headwaters Therapy PLLC
Counselor, Mental Health in Sedro Woolley, WA. Organization (NPI-2).
NPI number1013802073
StatusActive
Last updated in NPPESSep 16, 2025
Details
- NPI
- 1013802073
- Entity type
- Organization (NPI-2)
- Legal business name
- Headwaters Therapy PLLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2025
- Certification date
- Sep 16, 2025
- Last updated
- Sep 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
557 Rainbow DrSedro Woolley, WA 98284-9569
Phone 360-389-2023
Mailing address
557 Rainbow DrSedro Woolley, WA 98284-9569
Phone 360-389-2023
Authorized official
Eric Watson
Owner
3603892023
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