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Wendy Bradshaw
Counselor in Longview, Washington
NPI 1881120525

Wendy Bradshaw is a Counselor based in Longview, WA. Wendy Bradshaw practices in Longview, WA. The NPI Number for Wendy Bradshaw is 1881120525 and holds a License No. 60836323 (Washington).

The current practice location address for Wendy Bradshaw is 921 14Th Ave, Longview, WA and can be reached out via phone at 360-423-0203 and via fax at 360-423-2311.

Location: 921 14Th Ave, Longview, WA, 98632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881120525
Provider Name
Wendy Bradshaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
921 14Th Ave, Longview, WA, 98632
Phone Number
360-423-0203
Fax Number
360-423-2311
Provider Enumeration Date
05/01/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2097596 05 WA
institution
Provider Business Practice Location Address Details
Address
921 14Th Ave
City
Longview
State
Washington
Zip
98632
Phone Number
360-423-0203
Fax Number
360-423-2311
person
Provider Business Mailing Address Details
Address
921 14Th Ave
City
Longview
State
Washington
Zip
98632
Phone Number
360-423-0203
Fax Number
360-423-2311
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
60836323 (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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