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Organization
GREAT NORTHERN CONSULTING
Active
Organization
GREAT NORTHERN CONSULTING
Active
Other names
Great Northern Therapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA CHUMAK (FINANCE MANAGER)
(253) 292-6391
Entity
Organization
Contact information
Practice address
1801 D ST STE 4, VANCOUVER, WA 98663-3376
(253) 449-8033
Mailing address
1801 D ST STE 4, VANCOUVER, WA 98663-3376
(100) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
MENTAL HEALTH THERAPY
WA
Enumeration date
06/14/2022
Last updated
06/14/2022
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