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Caleb Idlett
Counselor in Longview, Washington
NPI 1245845593

Caleb Idlett is a Counselor based in Longview, WA. Caleb Idlett practices in Longview, WA. The NPI Number for Caleb Idlett is 1245845593 and holds a License No. CG1106027 (Washington).

The current practice location address for Caleb Idlett is 748 14Th Ave, Longview, WA and can be reached out via phone at 360-200-5419 and via fax at 360-200-6736.

Location: 748 14Th Ave, Longview, WA, 98632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245845593
Provider Name
Caleb Idlett
Credential
Provider Entity Type
Individual
Gender
Male
Address
748 14Th Ave, Longview, WA, 98632
Phone Number
360-200-5419
Fax Number
360-200-6736
Provider Enumeration Date
09/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2164312 05 WA
institution
Provider Business Practice Location Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider Business Mailing Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG1106027 (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.
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