Individual
AUDREY MARIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CG, ATR-P
Contact information
Practice address
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 397-8246
(360) 397-8448
Mailing address
PO BOX 1678, VANCOUVER, WA 98668-1678
(360) 397-8246
(360) 397-8448
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61283254
WA
221700000X
Art Therapist
18069
—
Other
Enumeration date
03/29/2022
Last updated
03/21/2023
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