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Laurie Jane Crivello
Mental Health Counselor in Chehalis, Washington
NPI 1629508437

Laurie Jane Crivello is a Mental Health Counselor based in Chehalis, WA and is specialized in Mental Health. Laurie Jane Crivello practices in Chehalis, WA. The NPI Number for Laurie Jane Crivello is 1629508437 and holds a License No. MC60285534 (Washington).

The current practice location address for Laurie Jane Crivello is 28 Sw Chehalis Ave,, Chehalis, WA and can be reached out via phone at 360-330-9044.

Location: 28 Sw Chehalis Ave,, Chehalis, WA, 98532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629508437
Provider Name
Laurie Jane Crivello
Credential
Provider Entity Type
Individual
Gender
Female
Address
28 Sw Chehalis Ave,, Chehalis, WA, 98532
Phone Number
360-330-9044
Fax Number
Provider Enumeration Date
06/14/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100094 05 WA
1629508437 05 WA
institution
Provider Business Practice Location Address Details
Address
28 Sw Chehalis Ave,
City
Chehalis
State
Washington
Zip
98532
Phone Number
360-330-9044
Fax Number
person
Provider Business Mailing Address Details
Address
28 Sw Chehalis Ave,
City
Chehalis
State
Washington
Zip
98532
Phone Number
360-330-9044
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MC60285534 (Washington)
Definition
Definition to come...
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