| Tinamarie Fish Lmhc | |
|
2512 E Evergreen Blvd # 1188 Vancouver WA 98661-4323 | |
| (360) 773-8964 | |
| Not Available |
| Full Name | Tinamarie Fish Lmhc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2512 E Evergreen Blvd # 1188, Vancouver, Washington |
| Authorized Official Name and Position | Tinamarie Fish (OWNER) |
| Authorized Official Contact | 3607738964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tinamarie Fish Lmhc Po Box 826 Ridgefield WA 98642-0826 Ph: (360) 773-8964 | Tinamarie Fish Lmhc 2512 E Evergreen Blvd # 1188 Vancouver WA 98661-4323 Ph: (360) 773-8964 |
| NPI Number | 1164186730 |
|---|---|
| Provider Enumeration Date | 10/28/2021 |
| Last Update Date | 06/16/2022 |
| Certification Date | 06/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164186730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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