person
Richard Emery Clevenger JR., BA,AAC
Mental Health Counselor in Centralia, Washington
NPI 1467836304

Richard Emery Clevenger JR. is a Mental Health Counselor based in Centralia, WA and is specialized in Mental Health. Richard Emery Clevenger JR. practices in Centralia, WA and has the professional credentials of BA,AAC. The NPI Number for Richard Emery Clevenger JR. is 1467836304 and holds a License No. CG 60577619 (Washington).

The current practice location address for Richard Emery Clevenger JR. is 2428 W Reynolds Ave, Centralia, WA and can be reached out via phone at 360-330-9044 and via fax at 360-736-3139.

Location: 2428 W Reynolds Ave, Centralia, WA, 98531-4554
person
Provider Profile Details
NPI Number
1467836304
Provider Name
Richard Emery Clevenger JR.
Credential
BA,AAC
Provider Entity Type
Individual
Gender
Male
Address
2428 W Reynolds Ave, Centralia, WA, 98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139
Provider Enumeration Date
07/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2428 W Reynolds Ave
City
State
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139
person
Provider Business Mailing Address Details
Address
2428 W Reynolds Ave
City
State
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CG 60577619 (Washington)
Definition
Definition to come...
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