| Pacific Counseling Services | |
|
1801 1st Ave Ste 2b6 Longview WA 98632-3270 | |
| (360) 931-0937 | |
| (360) 353-3232 |
| Full Name | Pacific Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1801 1st Ave Ste 2b6, Longview, Washington |
| Authorized Official Name and Position | Renee Ducharme-brodie (BEHAVIORAL THERAPIST/OWNER) |
| Authorized Official Contact | 3609310937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Counseling Services 1801 1st Ave Ste 2b6 Longview WA 98632-3270 Ph: (360) 931-0937 | Pacific Counseling Services 1801 1st Ave Ste 2b6 Longview WA 98632-3270 Ph: (360) 931-0937 |
| NPI Number | 1558841361 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 08/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558841361 | NPI | - | NPPES |
| 2102397 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LH60149240 (Washington) | Primary |
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