| A Different Perspective, Llc | |
|
216 Baltimore St Apt 4 Longview WA 98632-1745 | |
| (360) 751-5096 | |
| Not Available |
| Full Name | A Different Perspective, Llc |
|---|---|
| Speciality | Counselor |
| Location | 216 Baltimore St Apt 4, Longview, Washington |
| Authorized Official Name and Position | Molly Rogers (OWNER) |
| Authorized Official Contact | 3607515096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Different Perspective, Llc 216 Baltimore St Apt 4 Longview WA 98632-1745 Ph: (360) 751-5096 | A Different Perspective, Llc 216 Baltimore St Apt 4 Longview WA 98632-1745 Ph: (360) 751-5096 |
| NPI Number | 1912443383 |
|---|---|
| Provider Enumeration Date | 01/10/2017 |
| Last Update Date | 01/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912443383 | NPI | - | NPPES |
| 192457 | Other | WA | DDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | CL60641699 (Washington) | Primary |
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