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Desire C Shores
Mental Health Counselor in Aberdeen, Washington
NPI 1639789563

Desire C Shores is a Mental Health Counselor based in Longview, WA and is specialized in Mental Health. Desire C Shores practices in Aberdeen, WA. The NPI Number for Desire C Shores is 1639789563 and holds a License No. CG61090379 (Washington).

The current practice location address for Desire C Shores is 2700 Simpson Ave Ste 100, Aberdeen, WA and can be reached out via phone at 360-612-0012 and via fax at 360-577-0187.

Location: 2700 Simpson Ave Ste 100, Aberdeen, WA, 98632-8140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639789563
Provider Name
Desire C Shores
Credential
Provider Entity Type
Individual
Gender
Female
Address
2700 Simpson Ave Ste 100, Aberdeen, WA, 98632-8140
Phone Number
360-612-0012
Fax Number
360-577-0187
Provider Enumeration Date
08/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2700 Simpson Ave Ste 100
City
Aberdeen
State
Washington
Zip
98520-4335
Phone Number
360-612-0012
Fax Number
360-577-0187
person
Provider Business Mailing Address Details
Address
2700 Simpson Ave Ste 100
City
Aberdeen
State
Washington
Zip
98520-4335
Phone Number
360-612-0012
Fax Number
360-577-0187
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG61090379 (Washington)
Definition
Definition to come...
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