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Matthew Lewis Spurlock
Counselor in Kelso, Washington
NPI 1457841215

Matthew Lewis Spurlock is a Counselor based in Longview, WA. Matthew Lewis Spurlock practices in Kelso, WA. The NPI Number for Matthew Lewis Spurlock is 1457841215 and holds a License No. 60888636 (Washington).

The current practice location address for Matthew Lewis Spurlock is 305 Pacific Ave S Ste 102, Kelso, WA and can be reached out via phone at 530-423-0203 and via fax at 360-577-7904.

Location: 305 Pacific Ave S Ste 102, Kelso, WA, 98632-8140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457841215
Provider Name
Matthew Lewis Spurlock
Credential
Provider Entity Type
Individual
Gender
Male
Address
305 Pacific Ave S Ste 102, Kelso, WA, 98632-8140
Phone Number
530-423-0203
Fax Number
360-577-7904
Provider Enumeration Date
05/16/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2104942 05 WA
institution
Provider Business Practice Location Address Details
Address
305 Pacific Ave S Ste 102
City
Kelso
State
Washington
Zip
98626-1638
Phone Number
530-423-0203
Fax Number
360-577-7904
person
Provider Business Mailing Address Details
Address
305 Pacific Ave S Ste 102
City
Kelso
State
Washington
Zip
98626-1638
Phone Number
530-423-0203
Fax Number
360-577-7904
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
60888636 (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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