Nisqually Indian Tribe

NPI #1609612670 in Olympia, Washington

Provider Information

NPI Number: 1609612670
Entity Type: Organization
Organization Name: Nisqually Indian Tribe
Subpart: Yes (part of a larger organization)
Parent Organization: NISQUALLY INDIAN TRIBE
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jul 8, 2024
Last Updated: Jul 8, 2024

Practice Location

Address: 10747 TODTKARLE RD SE
City: Olympia
State: Washington
ZIP Code: 98513-9286
Phone: (360) 456-5221

Authorized Official

Name: CYNTHIA IYALL
Title: CENTER ADMINISTRATOR
Phone: (360) 456-5221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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