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Community House On Broadway
Mental Health Counselor in Longview, Washington
NPI 1467855353

Community House On Broadway is a Mental Health Counselor based in Longview, WA and is specialized in Mental Health. Community House On Broadway practices in Longview, WA. The NPI Number for Community House On Broadway is 1467855353 and holds a License No. 313 (Washington).

The current practice location address for Community House On Broadway is 748 14Th Ave, Longview, WA and can be reached out via phone at 360-200-5419.

Location: 748 14Th Ave, Longview, WA, 98632-7260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467855353
Provider Name
Community House On Broadway
Credential
Provider Entity Type
Organization
Address
748 14Th Ave, Longview, WA, 98632-7260
Phone Number
360-200-5419
Fax Number
Provider Enumeration Date
10/06/2014
Last Update Date
03/09/2024
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
person
Provider Business Mailing Address Details
Address
748 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
313 (Washington)
Definition
Definition to come...
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