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Samantha Taylor
Mental Health Counselor in Longview, Washington
NPI 1174966568

Samantha Taylor is a Mental Health Counselor based in Longview, WA and is specialized in Mental Health. Samantha Taylor practices in Longview, WA. The NPI Number for Samantha Taylor is 1174966568 and holds a License No. 60779231 (Washington).

The current practice location address for Samantha Taylor is 720 14Th Avenue, Longview, WA and can be reached out via phone at 360-423-0203 and via fax at 360-423-5086.

Location: 720 14Th Avenue, Longview, WA, 98632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174966568
Provider Name
Samantha Taylor
Credential
Provider Entity Type
Individual
Gender
Female
Address
720 14Th Avenue, Longview, WA, 98632
Phone Number
360-423-0203
Fax Number
360-423-5086
Provider Enumeration Date
04/16/2013
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2097992 05 WA
institution
Provider Business Practice Location Address Details
Address
720 14Th Avenue
City
Longview
State
Washington
Zip
98632
Phone Number
360-423-0203
Fax Number
360-423-5086
person
Provider Business Mailing Address Details
Address
720 14Th Avenue
City
Longview
State
Washington
Zip
98632
Phone Number
360-423-0203
Fax Number
360-423-5086
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG60691812 (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
Mental Health
Taxonomy
101YM0800X
License No.
60779231 (Washington)
Definition
Definition to come...
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