| Refresh Therapy, Inc | |
|
1319 Ne 134th St # 111 Vancouver WA 98685-2717 | |
| (360) 907-7069 | |
| (360) 326-7224 |
| Full Name | Refresh Therapy, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1319 Ne 134th St # 111, Vancouver, Washington |
| Authorized Official Name and Position | Bryanna Goodman (CEO) |
| Authorized Official Contact | 3609077069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Refresh Therapy, Inc 1319 Ne 134th St # 111 Vancouver WA 98685-2717 Ph: (360) 907-7069 | Refresh Therapy, Inc 1319 Ne 134th St # 111 Vancouver WA 98685-2717 Ph: (360) 907-7069 |
| NPI Number | 1225403454 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225403454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LF60139869 (Washington) | Primary |
| 106H00000X | Marriage & Family Therapist | LF00002654 (Washington) | Secondary |
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