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Alysha Marie Poole
Mental Health Counselor in Longview, Washington
NPI 1669123659

Alysha Marie Poole is a Mental Health Counselor based in Centralia, WA and is specialized in Mental Health. Alysha Marie Poole practices in Longview, WA. The NPI Number for Alysha Marie Poole is 1669123659 and holds a License No. (Washington).

The current practice location address for Alysha Marie Poole is 1116 14Th Ave, Longview, WA and can be reached out via phone at 360-669-3863.

Location: 1116 14Th Ave, Longview, WA, 98531-9071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669123659
Provider Name
Alysha Marie Poole
Credential
Provider Entity Type
Individual
Gender
Female
Address
1116 14Th Ave, Longview, WA, 98531-9071
Phone Number
360-669-3863
Fax Number
Provider Enumeration Date
01/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1116 14Th Ave
City
Longview
State
Washington
Zip
98632-3017
Phone Number
360-669-3863
Fax Number
person
Provider Business Mailing Address Details
Address
1116 14Th Ave
City
Longview
State
Washington
Zip
98632-3017
Phone Number
360-669-3863
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Washington)
Definition
Definition to come...
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