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Tristan Shannon Wozniak, MALMHC
Mental Health Counselor in Longview, Washington
NPI 1023257094

Tristan Shannon Wozniak is a Mental Health Counselor based in Cathlamet, WA and is specialized in Mental Health. Tristan Shannon Wozniak practices in Longview, WA and has the professional credentials of MALMHC. The NPI Number for Tristan Shannon Wozniak is 1023257094 and holds a License No. LH60887869 (Washington).

The current practice location address for Tristan Shannon Wozniak is 945 11Th Ave Ste B, Longview, WA and can be reached out via phone at 360-414-8600.

Location: 945 11Th Ave Ste B, Longview, WA, 98612-9541
person
Provider Profile Details
NPI Number
1023257094
Provider Name
Tristan Shannon Wozniak
Credential
MALMHC
Provider Entity Type
Individual
Gender
Female
Address
945 11Th Ave Ste B, Longview, WA, 98612-9541
Phone Number
360-414-8600
Fax Number
Provider Enumeration Date
02/13/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2124444 05 WA
institution
Provider Business Practice Location Address Details
Address
945 11Th Ave Ste B
City
State
Zip
98632-2555
Phone Number
360-414-8600
Fax Number
person
Provider Business Mailing Address Details
Address
945 11Th Ave Ste B
City
State
Zip
98632-2555
Phone Number
360-414-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH60887869 (Washington)
Definition
Definition to come...
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