Healthcare Provider Details
I. General information
NPI: 1689482754
Provider Name (Legal Business Name): HONORBOUND COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/20/2024
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5606 N MARTINSON RD
NEWMAN LAKE WA
99025-8482
US
IV. Provider business mailing address
5606 N MARTINSON RD
NEWMAN LAKE WA
99025-8482
US
V. Phone/Fax
- Phone: 509-723-3723
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
HOOKER
Title or Position: OWNER
Credential: MSW, LMHC, LICSW
Phone: 509-723-3723