| Therapeutic Change | |
|
3305 Main St Ste 24 Vancouver WA 98663-2234 | |
| (360) 602-1477 | |
| Not Available |
| Full Name | Therapeutic Change |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3305 Main St Ste 24, Vancouver, Washington |
| Authorized Official Name and Position | Summer L Brown (OWNER/CLINICIAN) |
| Authorized Official Contact | 3606021477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Change 3305 Main St Ste 24 Vancouver WA 98663-2234 Ph: (360) 602-1477 | Therapeutic Change 3305 Main St Ste 24 Vancouver WA 98663-2234 Ph: (360) 602-1477 |
| NPI Number | 1033483391 |
|---|---|
| Provider Enumeration Date | 03/05/2012 |
| Last Update Date | 03/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033483391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LF60233689 (Washington) | Primary |
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