person
John Bruce Liles
Mental Health Counselor in Vancouver, Washington
NPI 1912485012

John Bruce Liles is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. John Bruce Liles practices in Vancouver, WA. The NPI Number for John Bruce Liles is 1912485012 and holds a License No. (Washington).

The current practice location address for John Bruce Liles is 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA and can be reached out via phone at 360-397-8484 and via fax at 360-397-8494.

Location: 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA, 98668-1845
person
Provider Profile Details
NPI Number
1912485012
Provider Name
John Bruce Liles
Credential
Provider Entity Type
Individual
Gender
Male
Address
1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA, 98668-1845
Phone Number
360-397-8484
Fax Number
360-397-8494
Provider Enumeration Date
07/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1601 E Fourth Plain Blvd Bldg 17
City
State
Zip
98661-3717
Phone Number
360-397-8484
Fax Number
360-397-8494
person
Provider Business Mailing Address Details
Address
1601 E Fourth Plain Blvd Bldg 17
City
State
Zip
98661-3717
Phone Number
360-397-8484
Fax Number
360-397-8494
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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