Individual
AMY LOMAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 PACIFIC AVE N, KELSO, WA 98626-3414
(360) 423-0203
(360) 423-5086
Mailing address
921 14TH AVE, LONGVIEW, WA 98632-2316
(360) 423-0203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60900320
WA
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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