Male or Other

Janathan Grace LMHC

Mental Health Counselor in Silverdale, WA(View on Map)

Full Name

Janathan Grace LMHC

NPI Number

1134734106

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/15/2020

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

LH61258275

Contact
Information

Purpose

Mailing
Location

Address

40 NE SKIPPER CT
9119 RIDGETOP BLVD NW STE 220

City

Belfair
Silverdale

State

WA
WA

Postal Code

98528-9258
98383-8549

Country

US
US

Telephone Number

(434) 609-2004
(360) 516-0728

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/14/2024

Provider Address

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