Organization
MOONTREE COUNSELING
Active
Organization
MOONTREE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY D WILLETT MS, LMHC (THERAPIST)
(360) 949-2727
Entity
Organization
Contact information
Practice address
3305 MAIN ST STE 23, VANCOUVER, WA 98663-2234
(360) 949-2727
Mailing address
9208 NE HIGHWAY 99 STE 107 #110, VANCOUVER, WA 98665-8986
(360) 949-2727
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LH60169232
WA
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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