Organization
AUTHENTIC LIFE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON TOWNSEND (CREDENTIALING MANAGER)
(360) 713-1832
Entity
Organization
Contact information
Practice address
3305 MAIN ST STE 9, VANCOUVER, WA 98663-2272
(360) 207-1626
Mailing address
1904 NE 67TH ST, VANCOUVER, WA 98665-0364
(360) 207-1626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/05/2025
Last updated
07/05/2025
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