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540 W River Rd Centralia WA 98531-3349 | |
(360) 269-1780 | |
(360) 736-2304 |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 540 W River Rd, Centralia, Washington |
Authorized Official Name and Position | Sandra Louise Ames (OWNER) |
Authorized Official Contact | 3602691780 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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540 W River Rd Centralia WA 98531-3349 Ph: (360) 269-1780 | 540 W River Rd Centralia WA 98531-3349 Ph: (360) 269-1780 |
NPI Number | 1679986368 |
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Provider Enumeration Date | 06/10/2014 |
Last Update Date | 06/10/2014 |
Identifier | Type | State | Issuer |
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1679986368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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