Individual provider · Type 1 NPI

Hailey Square

Mental Health Counselor · Olympia, WA

NPI number 1255937579 Active

Practice location

3436 Mary Elder Rd NE
Olympia, WA 98506-5050

Mailing address

4036 S Lawrence St # A
Tacoma, WA 98409-5627

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAAC

Mental Health Counselor: Definition to come...

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About NPI 1255937579

Hailey Square's National Provider Identifier is 1255937579, issued on Dec 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Olympia, WA. The record was last updated on Dec 10, 2020.