Individual
MARIE GRACE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 NE 112TH AVE STE 108, VANCOUVER, WA 98684-5115
(425) 403-5765
Mailing address
1030 W LOOKOUT RIDGE DR, WASHOUGAL, WA 98671-7441
(707) 217-2052
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTA.MG.70097804
WA
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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