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CANYON LAKES FAMILY COUNSELING CENTER, PLLC

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Company Details

Legal Name: CANYON LAKES FAMILY COUNSELING CENTER, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 1st 2014
Expiration date: 31 Oct 2026
UBI Number: 603 441 004
ZIP code: 99352
City: Richland
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1355 COLUMBIA PARK TRL, RICHLAND, WA, 99352-4770, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1355 COLUMBIA PARK TRAIL, KENNEWICK, WA, 99337, UNITED STATES

Contact Details

E-Mail: RYAN@CANYONLAKESCOUNSELING.COM
VALERIE@CANYONLAKESCOUNSELING.COM
Phone Number: +1 509-591-0462

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
RYAN BRADLEY Registered Agent 1355 COLUMBIA PARK TRL, RICHLAND, WA, 99352-4770, UNITED STATES

Key Officers & Management

Name Role Address
VALERIE KIRK Governing Person -
RYAN BRADLEY EXECUTOR 2917 S RAINIER ST, KENNEWICK, WA, 99337, UNITED STATES
LYNN OWENS EXECUTOR 3409 S ABURN ST, KENNEWICK, WA, 99337, UNITED STATES

National Provider Identifier

NPI Number:
1871929869

Authorized Person:

Name:
MR. LYNN OWENS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

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