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Richard Guy Cantrell Vargas
Mental Health Counselor in Centralia, Washington
NPI 1710633177

Richard Guy Cantrell Vargas is a Mental Health Counselor based in Centralia, WA and is specialized in Mental Health. Richard Guy Cantrell Vargas practices in Centralia, WA. The NPI Number for Richard Guy Cantrell Vargas is 1710633177 and holds a License No. (Washington).

The current practice location address for Richard Guy Cantrell Vargas is 2207 Harrison Ave Apt 109, Centralia, WA and can be reached out via phone at 360-330-9044.

Location: 2207 Harrison Ave Apt 109, Centralia, WA, 98531-7912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710633177
Provider Name
Richard Guy Cantrell Vargas
Credential
Provider Entity Type
Individual
Gender
Male
Address
2207 Harrison Ave Apt 109, Centralia, WA, 98531-7912
Phone Number
360-330-9044
Fax Number
Provider Enumeration Date
02/24/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101YM0800X 01 101YM0800X
institution
Provider Business Practice Location Address Details
Address
2207 Harrison Ave Apt 109
City
Centralia
State
Washington
Zip
98531-7912
Phone Number
360-330-9044
Fax Number
person
Provider Business Mailing Address Details
Address
2207 Harrison Ave Apt 109
City
Centralia
State
Washington
Zip
98531-7912
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.
()
Definition
Definition to come...
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