| Cowlitz County Therapist Inc. | |
|
1157 3rd Ave Ste 100 Longview WA 98632-6007 | |
| (360) 560-7735 | |
| Not Available |
| Full Name | Cowlitz County Therapist Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1157 3rd Ave Ste 100, Longview, Washington |
| Authorized Official Name and Position | Patricia Andersen (THERAPIST AND OWNER) |
| Authorized Official Contact | 3605607735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cowlitz County Therapist Inc. 1157 3rd Ave Ste 100 Longview WA 98632-6007 Ph: (360) 560-7735 | Cowlitz County Therapist Inc. 1157 3rd Ave Ste 100 Longview WA 98632-6007 Ph: (360) 560-7735 |
| NPI Number | 1588258982 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 02/25/2021 |
| Certification Date | 02/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588258982 | NPI | - | NPPES |
| 1831597384 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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