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Organization

EVERGREEN BEHAVIORAL HEALTH PC

Active
Other names
Evergreen Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
JILL B FANCHER PH.D. (CLINIC DIRECTOR/OWNER)
(360) 450-0140
Entity
Organization

Contact information

Practice address
2621 NE 134TH ST STE 340, VANCOUVER, WA 98686-3036
(360) 450-0140
(877) 343-0535
Mailing address
2621 NE 134TH ST STE 340, VANCOUVER, WA 98686-3036
(360) 450-0140
(877) 343-0535

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
1041C0700X
Clinical Social Worker
225700000X
Massage Therapist

Other

Enumeration date
10/18/2010
Last updated
10/21/2014
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