Organization
FOUNDATIONAL THERAPY NW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY STOREY (OWNER)
(360) 513-2520
Entity
Organization
Contact information
Practice address
2102 NE 158TH CIR, VANCOUVER, WA 98686-6447
(360) 513-2520
Mailing address
2102 NE 158TH CIR, VANCOUVER, WA 98686-6447
(360) 513-2520
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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