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Edward Thomas Gollihugh
Mental Health Counselor in Centralia, Washington
NPI 1558982058

Edward Thomas Gollihugh is a Mental Health Counselor based in Centralia, WA and is specialized in Mental Health. Edward Thomas Gollihugh practices in Centralia, WA. The NPI Number for Edward Thomas Gollihugh is 1558982058 and holds a License No. (Washington).

The current practice location address for Edward Thomas Gollihugh is 209 W Main St, Centralia, WA and can be reached out via phone at 360-623-1264.

Location: 209 W Main St, Centralia, WA, 98531-4245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558982058
Provider Name
Edward Thomas Gollihugh
Credential
Provider Entity Type
Individual
Gender
Male
Address
209 W Main St, Centralia, WA, 98531-4245
Phone Number
360-623-1264
Fax Number
Provider Enumeration Date
05/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
209 W Main St
City
Centralia
State
Washington
Zip
98531-4245
Phone Number
360-623-1264
Fax Number
person
Provider Business Mailing Address Details
Address
209 W Main St
City
Centralia
State
Washington
Zip
98531-4245
Phone Number
360-623-1264
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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