Organization · Type 2 NPI
Renegade Healing Co., LLC
Mental Health Counselor · Otis Orchards, WA
NPI number
1780540864
Active
Practice location
5711 N Vista Grande Dr
Otis Orchards, WA 99027-9103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1780540864
Renegade Healing Co., LLC's National Provider Identifier is 1780540864, issued on Jan 1, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Otis Orchards, WA. The record was last updated on Jan 1, 2026.