person
Richard Koethke, MS,LMHC,MHP
Mental Health Counselor in Longview, Washington
NPI 1275016354

Richard Koethke is a Mental Health Counselor based in Longview, WA and is specialized in Mental Health. Richard Koethke practices in Longview, WA and has the professional credentials of MS,LMHC,MHP. The NPI Number for Richard Koethke is 1275016354 and holds a License No. LH61255646 (Washington).

The current practice location address for Richard Koethke is 1116 14Th Ave, Longview, WA and can be reached out via phone at 360-999-7014.

Location: 1116 14Th Ave, Longview, WA, 98632-2022
person
Provider Profile Details
NPI Number
1275016354
Provider Name
Richard Koethke
Credential
MS,LMHC,MHP
Provider Entity Type
Individual
Gender
Male
Address
1116 14Th Ave, Longview, WA, 98632-2022
Phone Number
360-999-7014
Fax Number
Provider Enumeration Date
09/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1116 14Th Ave
City
State
Zip
98632-3017
Phone Number
360-999-7014
Fax Number
person
Provider Business Mailing Address Details
Address
1116 14Th Ave
City
State
Zip
98632-3017
Phone Number
360-999-7014
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH61255646 (Washington)
Definition
Definition to come...
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