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Linda Lou Dipietra
Mental Illness Community Based Residential Treatment Facility in Vancouver, Washington
NPI 1629435045

Linda Lou Dipietra is a Mental Illness Community Based Residential Treatment Facility based in Vancouver, WA. Linda Lou Dipietra practices in Vancouver, WA. The NPI Number for Linda Lou Dipietra is 1629435045 and holds a License No. (Washington).

The current practice location address for Linda Lou Dipietra is 7415 Ne 94Th Ave, Vancouver, WA and can be reached out via phone at 360-254-2365.

Location: 7415 Ne 94Th Ave, Vancouver, WA, 98682-5312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629435045
Provider Name
Linda Lou Dipietra
Credential
Provider Entity Type
Individual
Gender
Female
Address
7415 Ne 94Th Ave, Vancouver, WA, 98682-5312
Phone Number
360-254-2365
Fax Number
Provider Enumeration Date
01/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7415 Ne 94Th Ave
City
Vancouver
State
Washington
Zip
98662-3859
Phone Number
360-254-2365
Fax Number
person
Provider Business Mailing Address Details
Address
7415 Ne 94Th Ave
City
Vancouver
State
Washington
Zip
98662-3859
Phone Number
360-254-2365
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG60193148 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
(Washington)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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