Individual
CAROLINE GRACE BRINGS HIM BACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Contact information
Practice address
811 NE 112TH AVE STE 106, VANCOUVER, WA 98684-5115
(360) 553-1350
Mailing address
108 SE 124TH AVE, VANCOUVER, WA 98684
(850) 572-4584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C8073
OR
101YM0800X
Mental Health Counselor
Primary
LH61250817
WA
101YM0800X
Mental Health Counselor
MC61024206
WA
Other
Enumeration date
02/20/2021
Last updated
07/24/2025
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