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Angela Diane Pence, MSW,LICSW,DMHP
Counselor in Longview, Washington
NPI 1750763256

Angela Diane Pence is a Counselor based in Longview, WA. Angela Diane Pence practices in Longview, WA and has the professional credentials of MSW,LICSW,DMHP. The NPI Number for Angela Diane Pence is 1750763256 and holds a License No. 60935956 (Washington).

The current practice location address for Angela Diane Pence is 720 14Th Ave, Longview, WA and can be reached out via phone at 360-577-0249 and via fax at 360-577-0269.

Location: 720 14Th Ave, Longview, WA, 98632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750763256
Provider Name
Angela Diane Pence
Credential
MSW,LICSW,DMHP
Provider Entity Type
Individual
Gender
Female
Address
720 14Th Ave, Longview, WA, 98632
Phone Number
360-577-0249
Fax Number
360-577-0269
Provider Enumeration Date
06/22/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2140670 05 WA
institution
Provider Business Practice Location Address Details
Address
720 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-577-0249
Fax Number
360-577-0269
person
Provider Business Mailing Address Details
Address
720 14Th Ave
City
Longview
State
Washington
Zip
98632-2315
Phone Number
360-577-0249
Fax Number
360-577-0269
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
60935956 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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