Madrona Counseling Institute

Organization Active NPI Mental Health Counselor · Eastsound, WA

NPI 1134845480 · NPPES record last updated Oct 18, 2022

Key facts

NPI
1134845480
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
MADRONA COUNSELING INSTITUTE
Practice address
434 Madrona St Ste C
Eastsound, WA 98245-8573
Phone
(916) 413-8544
NPI assigned
Oct 18, 2022
Organization subpart
No

Authorized official

Name
Cassandra Perryman, PHD, LMHC, APCC
Title
Director / Ceo
Phone
(916) 413-8544

National Provider Directory

Locations

434 Madrona St
Ste C
Eastsound, WA 98245
Phone (916) 413-8544

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

434 Madrona St Ste C
Eastsound, WA 98245-8573

Mailing address

PO Box 951
Eastsound, WA 98245-0951
Phone (916) 413-8544

Other identifiers

IdentifierTypeStateIssuer
604693208OtherWAWA BUSINESS LICENSE

Electronic endpoints

TypeEndpointUseAffiliation
Other URL secure.simplepractice.com

Other providers in Eastsound, WA

All providers in Eastsound, WA · Mental Health Counselor in Washington

Sources for this page

Verify at the official NPI Registry.