Organization
PAX FAMILY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY DE LA TORRE LMHC (OWNER)
(360) 619-2275
Entity
Organization
Contact information
Practice address
601 MAIN ST STE 503, VANCOUVER, WA 98660-3414
(360) 619-2275
Mailing address
506 W 12TH WAY, LA CENTER, WA 98629-4267
(360) 619-2275
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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