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Elly Johanson Redford
Mental Health Counselor in Vancouver, Washington
NPI 1821679432

Elly Johanson Redford is a Mental Health Counselor based in Milwaukie, WA and is specialized in Mental Health. Elly Johanson Redford practices in Vancouver, WA. The NPI Number for Elly Johanson Redford is 1821679432 and holds a License No. (Washington).

The current practice location address for Elly Johanson Redford is 1601 E Fourth Plain Blvd, Vancouver, WA and can be reached out via phone at 360-334-5346.

Location: 1601 E Fourth Plain Blvd, Vancouver, WA, 97222-5372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821679432
Provider Name
Elly Johanson Redford
Credential
Provider Entity Type
Individual
Gender
Female
Address
1601 E Fourth Plain Blvd, Vancouver, WA, 97222-5372
Phone Number
360-334-5346
Fax Number
Provider Enumeration Date
04/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 E Fourth Plain Blvd
City
Vancouver
State
Washington
Zip
98661-3713
Phone Number
360-334-5346
Fax Number
person
Provider Business Mailing Address Details
Address
1601 E Fourth Plain Blvd
City
Vancouver
State
Washington
Zip
98661-3713
Phone Number
360-334-5346
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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