| Well Harbor Pllc | |
|
4405 7th Ave Se Ste 200 Lacey WA 98503-1055 | |
| (253) 254-5713 | |
| Not Available |
| Full Name | Well Harbor Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4405 7th Ave Se Ste 200, Lacey, Washington |
| Authorized Official Name and Position | Ahlia Rae Kim (OWNER) |
| Authorized Official Contact | 5625008812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Well Harbor Pllc 4405 7th Ave Se Ste 200 Lacey WA 98503-1055 Ph: (253) 254-5713 | Well Harbor Pllc 4405 7th Ave Se Ste 200 Lacey WA 98503-1055 Ph: (253) 254-5713 |
| NPI Number | 1154151124 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 02/12/2025 |
| Certification Date | 02/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154151124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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