Organization
NW FAMILY PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANDON EUGENE POPPLETON PHD, JD (DIRECTOR/OWNER)
(360) 910-1522
Entity
Organization
Contact information
Practice address
814 NE 87TH AVE, VANCOUVER, WA 98664-1915
(360) 910-1522
(360) 326-1522
Mailing address
814 NE 87TH AVE, VANCOUVER, WA 98664-1915
(360) 910-1522
(360) 326-1522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
PY60041144
WA
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
04/18/2013
Last updated
11/15/2017
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