Individual
JAMES R MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFT, LMHC
Contact information
Practice address
400 E EVERGREEN BLVD, SUITE 301C, VANCOUVER, WA 98660-3331
(360) 635-1422
Mailing address
PO BOX 2606, VANCOUVER, WA 98668-2606
(360) 635-1422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH 60160545
WA
106H00000X
Marriage & Family Therapist
Primary
LF 60160510
WA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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