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Maria L Mix, SUDP
Addiction (Substance Use Disorder) Counselor in Longview, Washington
NPI 1134631021

Maria L Mix is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Maria L Mix practices in Longview, WA and has the professional credentials of SUDP. The NPI Number for Maria L Mix is 1134631021 and holds a License No. 60723940 (Washington).

The current practice location address for Maria L Mix is 1302 Commerce Ave, Longview, WA and can be reached out via phone at 360-423-2806.

Location: 1302 Commerce Ave, Longview, WA, 98632-3096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134631021
Provider Name
Maria L Mix
Credential
SUDP
Provider Entity Type
Individual
Gender
Female
Address
1302 Commerce Ave, Longview, WA, 98632-3096
Phone Number
360-423-2806
Fax Number
Provider Enumeration Date
10/31/2017
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2101086 05 WA
institution
Provider Business Practice Location Address Details
Address
1302 Commerce Ave
City
Longview
State
Washington
Zip
98632-3096
Phone Number
360-423-2806
Fax Number
person
Provider Business Mailing Address Details
Address
1302 Commerce Ave
City
Longview
State
Washington
Zip
98632-3096
Phone Number
360-423-2806
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CO60723940 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
60723940 (Washington)
Definition
Definition to come...
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