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Individual

CONSTANCE RAE GUY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2076 MAIN ST STE 4, FERNDALE, WA 98248-9468
(360) 288-7929
(360) 862-6858
Mailing address
5703 4TH AVE UNIT 963, FERNDALE, WA 98248-4039
(360) 288-7929
(360) 862-6858

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20150810721237
WA
05
2047491
WA
Enumeration date
06/17/2011
Last updated
04/30/2026
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