Authentic Vibrancy Company Pllc
NPI #1245116680 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1245116680
- Entity Type
- Organization
- Organization Name
- Authentic Vibrancy Company Pllc
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 12, 2025
- Last Updated
- Aug 12, 2025
Practice Location
- Address
- 325 PINE ST STE B
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98273-5929
- Phone
- (360) 420-5930
Authorized Official
- Name
- TRACY WIESNESKE
- Title
- OWNER
- Phone
- (360) 420-5930
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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