Organization
COWLITZ COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS CARREON LICSW, BCP (DIRECTOR)
(360) 414-5599
Entity
Organization
Contact information
Practice address
1952 9TH AVE, LONGVIEW, WA 98632-4045
(360) 414-5599
(360) 425-7531
Mailing address
1952 9TH AVE, LONGVIEW, WA 98632-4045
(360) 414-5599
(360) 425-7531
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7401482
—
WA
Enumeration date
04/17/2007
Last updated
08/22/2020
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