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Robert Leary
Mental Health Counselor in Vancouver, Washington
NPI 1023870383

Robert Leary is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Robert Leary practices in Vancouver, WA. The NPI Number for Robert Leary is 1023870383 and holds a License No. MHCA.MC.61500690 (Washington).

The current practice location address for Robert Leary is 756 Officers Row, Vancouver, WA and can be reached out via phone at 360-904-1008.

Location: 756 Officers Row, Vancouver, WA, 98663-1051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023870383
Provider Name
Robert Leary
Credential
Provider Entity Type
Individual
Gender
Male
Address
756 Officers Row, Vancouver, WA, 98663-1051
Phone Number
360-904-1008
Fax Number
Provider Enumeration Date
01/23/2024
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MHCA.MC.61500690 01 WA WASHINGTON STATE DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
756 Officers Row
City
Vancouver
State
Washington
Zip
98661-3845
Phone Number
360-904-1008
Fax Number
person
Provider Business Mailing Address Details
Address
756 Officers Row
City
Vancouver
State
Washington
Zip
98661-3845
Phone Number
360-904-1008
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MHCA.MC.61500690 (Washington)
Definition
Definition to come...
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