Individual provider · Type 1 NPI

Judith Freed Provasoli, L.M.H.C.

Mental Health Counselor · Olympia, WA

NPI number 1114072352 Active

Practice location

1018 7th Ave SE
Olympia, WA 98501-1512

Call (360) 413-1709 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH00003779 (WA)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1114072352

Judith Freed Provasoli, L.M.H.C.'s National Provider Identifier is 1114072352, issued on Jan 25, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Olympia, WA. The record was last updated on Jul 8, 2007.