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Matthew E. Wadzita
Mental Health Counselor in Vancouver, Washington
NPI 1467925875

Matthew E. Wadzita is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Matthew E. Wadzita practices in Vancouver, WA. The NPI Number for Matthew E. Wadzita is 1467925875 and holds a License No. LH61160894 (Washington).

The current practice location address for Matthew E. Wadzita is 12503 Se Mill Plain Blvd Ste 119A, Vancouver, WA and can be reached out via phone at 360-314-6507 and via fax at 360-852-8041.

Location: 12503 Se Mill Plain Blvd Ste 119A, Vancouver, WA, 98684-4007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467925875
Provider Name
Matthew E. Wadzita
Credential
Provider Entity Type
Individual
Gender
Male
Address
12503 Se Mill Plain Blvd Ste 119A, Vancouver, WA, 98684-4007
Phone Number
360-314-6507
Fax Number
360-852-8041
Provider Enumeration Date
01/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12503 Se Mill Plain Blvd Ste 119A
City
Vancouver
State
Washington
Zip
98684-4007
Phone Number
360-314-6507
Fax Number
360-852-8041
person
Provider Business Mailing Address Details
Address
12503 Se Mill Plain Blvd Ste 119A
City
Vancouver
State
Washington
Zip
98684-4007
Phone Number
360-314-6507
Fax Number
360-852-8041
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LH61160894 (Washington)
Definition
Definition to come...
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