Organization
WILLAPA COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY MATZEN (PROVIDER ENROLLMENT)
(360) 642-3783
Entity
Organization
Contact information
Practice address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 642-3787
(360) 642-2096
Mailing address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 642-3787
(360) 642-2096
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
J600618510
WA
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054667
—
WA
Enumeration date
05/27/2006
Last updated
10/17/2022
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