Organization
STEEP STREET COUNSELING, LLC
Active
Other names
Steep Street Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDY RUBY SEWELL LICSW, CMHS (OWNER)
(360) 607-6017
Entity
Organization
Contact information
Practice address
601 E MCLOUGHLIN BLVD, VANCOUVER, WA 98663-3358
(360) 607-6017
Mailing address
601 E MCLOUGHLIN BLVD, VANCOUVER, WA 98663-3358
(360) 607-6017
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LW60271794
WA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
LW60271794
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215164322
INDIVIDUAL NPI
WA
Enumeration date
08/27/2018
Last updated
08/27/2018
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