Organization
GENERATIONS OF HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEA ANN HOLDER LCSW (CLINICAL SOCIAL WORKER)
(360) 281-3114
Entity
Organization
Contact information
Practice address
1701 E EVERGREEN BLVD, VANCOUVER, WA 98661-4289
(360) 281-3114
(844) 400-6494
Mailing address
8601 NE SUNNYSIDE DR, VANCOUVER, WA 98662-2854
(360) 281-3114
(844) 400-6494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2095374
—
WA
Enumeration date
12/05/2018
Last updated
12/05/2018
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