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Sam J Mailhot
Mental Health Counselor in Centralia, Washington
NPI 1699239202

Sam J Mailhot is a Mental Health Counselor based in Centralia, WA and is specialized in Mental Health. Sam J Mailhot practices in Centralia, WA. The NPI Number for Sam J Mailhot is 1699239202 and holds a License No. 60901352 (Washington).

The current practice location address for Sam J Mailhot is 1641 Kresky Ave, Centralia, WA and can be reached out via phone at 360-506-0058.

Location: 1641 Kresky Ave, Centralia, WA, 98531-4554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699239202
Provider Name
Sam J Mailhot
Credential
Provider Entity Type
Individual
Gender
Male
Address
1641 Kresky Ave, Centralia, WA, 98531-4554
Phone Number
360-506-0058
Fax Number
Provider Enumeration Date
01/28/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619068624 05 WA
institution
Provider Business Practice Location Address Details
Address
1641 Kresky Ave
City
Centralia
State
Washington
Zip
98531-8912
Phone Number
360-506-0058
Fax Number
person
Provider Business Mailing Address Details
Address
1641 Kresky Ave
City
Centralia
State
Washington
Zip
98531-8912
Phone Number
360-506-0058
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
60901352 (Washington)
Definition
Definition to come...
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