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Mr. Donald Paul Cantrell
Mental Health Counselor in Long Beach, Washington
NPI 1164655478

Donald Paul Cantrell is a Mental Health Counselor based in Long Beach, WA and is specialized in Mental Health. Donald Paul Cantrell practices in Long Beach, WA. The NPI Number for Donald Paul Cantrell is 1164655478 and holds a License No. LH00011342 (Washington).

The current practice location address for Donald Paul Cantrell is 2204 Pacific Ave N, Long Beach, WA and can be reached out via phone at 360-642-3787 and via fax at 360-642-2096.

Location: 2204 Pacific Ave N, Long Beach, WA, 98631-3300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164655478
Provider Name
Donald Paul Cantrell
Credential
Provider Entity Type
Individual
Gender
Male
Address
2204 Pacific Ave N, Long Beach, WA, 98631-3300
Phone Number
360-642-3787
Fax Number
360-642-2096
Provider Enumeration Date
09/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LH00011342 01 WA LH
institution
Provider Business Practice Location Address Details
Address
2204 Pacific Ave N
City
Long Beach
State
Washington
Zip
98631-3300
Phone Number
360-642-3787
Fax Number
360-642-2096
person
Provider Business Mailing Address Details
Address
2204 Pacific Ave N
City
Long Beach
State
Washington
Zip
98631-3300
Phone Number
360-642-3787
Fax Number
360-642-2096
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LH00011342 (Washington)
Definition
Definition to come...
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