person
Constance Shamp
Mental Health Counselor in Longview, Washington
NPI 1154726503

Constance Shamp is a Mental Health Counselor based in Longview, WA and is specialized in Mental Health. Constance Shamp practices in Longview, WA. The NPI Number for Constance Shamp is 1154726503 and holds a License No. CG60474028 (Washington).

The current practice location address for Constance Shamp is 720 14Th Avenue, Longview, WA and can be reached out via phone at 360-423-0203 and via fax at 360-577-0269.

Location: 720 14Th Avenue, Longview, WA, 98632
person
Provider Profile Details
NPI Number
1154726503
Provider Name
Constance Shamp
Credential
Provider Entity Type
Individual
Gender
Female
Address
720 14Th Avenue, Longview, WA, 98632
Phone Number
360-423-0203
Fax Number
360-577-0269
Provider Enumeration Date
10/28/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2065847 05 WA
institution
Provider Business Practice Location Address Details
Address
720 14Th Avenue
City
State
Zip
98632
Phone Number
360-423-0203
Fax Number
360-577-0269
person
Provider Business Mailing Address Details
Address
720 14Th Avenue
City
State
Zip
98632
Phone Number
360-423-0203
Fax Number
360-577-0269
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CG60474028 (Washington)
Definition
Definition to come...
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