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Organization
VANCOUVER CLINICAL SERVICES PC
Active
Organization
VANCOUVER CLINICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE BATEMAN (MSW,LICSW)
(360) 695-7588
Entity
Organization
Contact information
Practice address
3305 MAIN ST STE 306, VANCOUVER, WA 98663-2251
(360) 695-7588
(360) 695-2982
Mailing address
2114 MAIN ST STE 100, VANCOUVER, WA 98660-2674
(360) 695-7588
(360) 695-2982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11662866
CAQH#
—
Enumeration date
02/28/2018
Last updated
10/09/2019
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