Individual provider · Type 1 NPI

Bryanna Jo Squibb, HM60795744

Mental Health Counselor · Centralia, WA

NPI number 1124664784 Active

Practice location

3510 Steelhammer Dr
Centralia, WA 98531-4551

Call (360) 623-8020 Map

Mailing address

83 SW 10th St
Chehalis, WA 98532-4704

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124664784

Bryanna Jo Squibb, HM60795744's National Provider Identifier is 1124664784, issued on Nov 19, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, WA. The record was last updated on Nov 19, 2019.