Soul Care Center of the West Coast
NPI #1750100988 in Granger, Washington
Provider Information
- NPI Number
- 1750100988
- Entity Type
- Organization
- Organization Name
- Soul Care Center of the West Coast
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 4, 2024
- Last Updated
- Oct 15, 2024
Practice Location
- Address
- 120 VAN BELLE RD
- City
- Granger
- State
- Washington
- ZIP Code
- 98932-9767
- Phone
- (509) 303-5775
Authorized Official
- Name
- MRS. EMILY VIOLET VICKERMAN, LMHCA
- Title
- THERAPIST/CO-OWNER
- Phone
- (509) 594-4917
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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