person
Angela Lynn Listy, MA,LMHC
Mental Health Counselor in Longview, Washington
NPI 1518444033

Angela Lynn Listy is a Mental Health Counselor based in Longview, WA and is specialized in Mental Health. Angela Lynn Listy practices in Longview, WA and has the professional credentials of MA,LMHC. The NPI Number for Angela Lynn Listy is 1518444033 and holds a License No. LH60825857 (Washington).

The current practice location address for Angela Lynn Listy is 748 14Th Ave, Longview, WA and can be reached out via phone at 360-200-5419 and via fax at 360-200-6736.

Location: 748 14Th Ave, Longview, WA, 98632
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Provider Profile Details
NPI Number
1518444033
Provider Name
Angela Lynn Listy
Credential
MA,LMHC
Provider Entity Type
Individual
Gender
Female
Address
748 14Th Ave, Longview, WA, 98632
Phone Number
360-200-5419
Fax Number
360-200-6736
Provider Enumeration Date
07/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2137062 05 WA
institution
Provider Business Practice Location Address Details
Address
748 14Th Ave
City
State
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider Business Mailing Address Details
Address
748 14Th Ave
City
State
Zip
98632-2315
Phone Number
360-200-5419
Fax Number
360-200-6736
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH60825857 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LH60825857 (Washington)
Definition
Definition to come...
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