Organization · NPI-2

Masterpeace Counseling, PLLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Mount Vernon, WA

NPI number1154031128
StatusActive
Last updated in NPPESFeb 7, 2024

Details

NPI
1154031128
Entity type
Organization (NPI-2)
Legal business name
Masterpeace Counseling, PLLC
Organization subpart
No
Enumeration date
Dec 1, 2022
Certification date
Feb 7, 2024
Last updated
Feb 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

1311 E Division St
Mount Vernon, WA 98274-4134

Phone 360-300-5755 · Fax 360-276-6450

Mailing address

Po Box 257 Pmb 9911
Olympia, WA 98507

Phone 360-300-5755 · Fax 360-276-6450

Authorized official

Caroline Cruse
Owner
3603005755

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