Organization Name: | INTEGRATIVE PSYCHOLOGICAL AND SOCIAL SERVICES |
NPI Number: | 1114344074 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICOLE C WINTERS (EXECUTIVE DIRECTOR) |
Mailing Address: | 5019 Grove St Suite 102 Marysville |
State: | WA US |
Postal Code: | 982704487 |
Phone Number: | 3603480205 |
Fax Number: | 3606919887 |
NPI Enumeration Date: | 03/27/2014 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MC60425258 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |