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Mr. Mark Patrick Masterson, MSW
Mental Health Counselor in Vancouver, Washington
NPI 1841203395

Mark Patrick Masterson is a Mental Health Counselor based in Portland, WA and is specialized in Mental Health. Mark Patrick Masterson practices in Vancouver, WA and has the professional credentials of MSW. The NPI Number for Mark Patrick Masterson is 1841203395 and holds a License No. LW00004819 (Washington).

The current practice location address for Mark Patrick Masterson is 12607 Se Mill Plain Blvd, Vancouver, WA and can be reached out via phone at 360-896-4460.

Location: 12607 Se Mill Plain Blvd, Vancouver, WA, 97212-1449
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841203395
Provider Name
Mark Patrick Masterson
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
12607 Se Mill Plain Blvd, Vancouver, WA, 97212-1449
Phone Number
360-896-4460
Fax Number
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12607 Se Mill Plain Blvd
City
Vancouver
State
Washington
Zip
98684-6055
Phone Number
360-896-4460
Fax Number
person
Provider Business Mailing Address Details
Address
12607 Se Mill Plain Blvd
City
Vancouver
State
Washington
Zip
98684-6055
Phone Number
360-896-4460
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LW00004819 (Washington)
Definition
Definition to come...
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