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Mr. Zaxhary Paul-dean Bagley
Mental Health Counselor in Centralia, Washington
NPI 1255111704

Zaxhary Paul-dean Bagley is a Mental Health Counselor based in Chehalis, WA and is specialized in Mental Health. Zaxhary Paul-dean Bagley practices in Centralia, WA. The NPI Number for Zaxhary Paul-dean Bagley is 1255111704 and holds a License No. (Washington).

The current practice location address for Zaxhary Paul-dean Bagley is 20311 Old Highway 9 Sw, Centralia, WA and can be reached out via phone at 360-664-4641.

Location: 20311 Old Highway 9 Sw, Centralia, WA, 98532-4213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255111704
Provider Name
Zaxhary Paul-dean Bagley
Credential
Provider Entity Type
Individual
Gender
Male
Address
20311 Old Highway 9 Sw, Centralia, WA, 98532-4213
Phone Number
360-664-4641
Fax Number
Provider Enumeration Date
10/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20311 Old Highway 9 Sw
City
Centralia
State
Washington
Zip
98531-9620
Phone Number
360-664-4641
Fax Number
person
Provider Business Mailing Address Details
Address
20311 Old Highway 9 Sw
City
Centralia
State
Washington
Zip
98531-9620
Phone Number
360-664-4641
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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